Department of Ophthalmology - Pediatric Division
Department of Ophthalmology - Pediatric Division is an Optometrist in Salt Lake City, Utah. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
100 Mario Capecchi Dr # 3650Salt Lake City, UT 84112-8924
Phone: (801) 581-3195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X |
|---|---|
| Optometrist | Taxonomy 152W00000X |
| Pediatric Optometrist | Taxonomy 152WP0200X |
| Contact Lens Technician/Technologist | Taxonomy 156FC0800X |
| Contact Lens Fitter | Taxonomy 156FC0801X |
Record details
| NPI number | 1467497156 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Randall Olson — Department Chair · (801) 581-3195 |
| NPI enumerated | June 18, 2006 |
| Last updated in NPPES | September 20, 2011 |
| Mailing address | 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 |
Other providers in Salt Lake City
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Dr. Craig J Cutler, OD
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David R Masihdas Odpc
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-
Dr. Nathan Glen Degn, OD
849 E 400 S, Salt Lake City, UT 84102-2928 · (801) 328-2020
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Department of Ophthalmology
65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 · (801) 581-3195
-
Dept of Ophthalmology
65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 · (801) 581-3195
-
Conner Steven Dewey, OD
2178 S 900 E Ste 4, Salt Lake City, UT 84106-2388 · (801) 484-2020
-
Dr. Brianna Jae Dissler, OD
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-
Jaime Michelle Etterling, OD
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