KERRY A OKELBERRY O D P C NPI 1639264427

NPI Information

KERRY A OKELBERRY O D P C is an eyewear supplier in West Jordan, UT. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KERRY A OKELBERRY O D P C NPI is 1639264427. The provider is registered as an organization entity type.
The provider Is Doing Business As Redwood Vision Center.

The provider's business location address is:

6705 REDWOOD RD
WEST JORDAN, UT
ZIP 84084-402
Phone: (801) 268-0866
Fax: (801) 268-2092

The provider's authorized official is Kerry A. Okelberry .
The authorized official title is President and has the following contact phone number (801) 268-0866.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/5/2014.

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:

Other Identifiers

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

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