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WEST VALLEY EYE LLC NPI 1215031620


NPI Information

NPI: 1215031620
Provider Name: WEST VALLEY EYE LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 46D0524399

Address:
3725 W 4100 S
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 965-3636
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WEST VALLEY EYE LLC is an ophthalmology in West Valley City, UT. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WEST VALLEY EYE LLC NPI is 1215031620. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3725 W 4100 S
WEST VALLEY CITY, UT
ZIP 84120-530
Phone: (801) 965-3636
Fax: (801) 965-3559

The provider's authorized official is Robert E Smith .
The authorized official title is Owner and has the following contact phone number (801) 965-3636.

The CLIA number assigned to this NPI record is 46D0524399 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology359975-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15283309*93016MEDICAIDUTAH
214490OTHERUTAHSPECTERA
3352130OTHERUTAHDMBA
4UT9975OTHERUTAHEYE MED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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