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PACIFIC CLEAR VISION INSTITUTE PC NPI 1386219574


NPI Information

NPI: 1386219574
Provider Name: PACIFIC CLEAR VISION INSTITUTE, PC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 38D2129622

Address:
489 W. SOUTH JORDAN PARKWAY
SUITE 300
SOUTH JORDAN, UT
ZIP 84095
Phone: (385) 222-2020
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PACIFIC CLEAR VISION INSTITUTE, PC is a durable medical equipment medical supplies in South Jordan, UT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PACIFIC CLEAR VISION INSTITUTE, PC NPI is 1386219574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

489 W. SOUTH JORDAN PARKWAY
SUITE 300
SOUTH JORDAN, UT
ZIP 84095-409
Phone: (385) 222-2020

The provider's authorized official is Jessica Singleton .
The authorized official title is Director and has the following contact phone number (541) 343-5000.

The CLIA number assigned to this NPI record is 38D2129622 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/21/2021 and was last updated on 5/21/2021.


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
1152W00000XOptometristNo
2207W00000XOphthalmologyNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes
5332H00000XEyewear SupplierNo

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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