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LAYTON VISUAL CENTER NPI 1366645954


NPI Information

NPI: 1366645954
Provider Name: LAYTON VISUAL CENTER

Other Name: LAYTON VISUAL CENTER, INC

Classification: Optometrist - 152WP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
180 WEST GORDON AVE
LAYTON, UT
ZIP 84041
Phone: (801) 546-2481
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LAYTON VISUAL CENTER is a pediatrics optometrist in Layton, UT. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. LAYTON VISUAL CENTER NPI is 1366645954. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Layton Visual Center, Inc.

The provider's business location address is:

180 WEST GORDON AVE
LAYTON, UT
ZIP 84041
Phone: (801) 546-2481
Fax: (801) 546-2483

The provider's authorized official is Denmark Ray Jensen .
The authorized official title is Owner and has the following contact phone number (801) 546-2481.

The enumeration date for this NPI number is 6/9/2007 and was last updated on 2/13/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WL0500XOptometristLow Vision Rehabilitation108553-8908UTAHNo
2152WP0200XOptometristPediatrics108553-8908UTAHYes
3152WS0006XOptometristSports Vision108553-8908UTAHNo
4152WX0102XOptometristOccupational Vision108553-8908UTAHNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1005508201MEDICARE UPINUTAH
2T79466MEDICARE UPINUTAH
3529461401004MEDICAIDUTAH

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: 4/28/2024

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