RETINA ASSOCIATES OF UTAH P.C. NPI 1396867214

NPI Information

NPI: 1396867214
Provider Name: RETINA ASSOCIATES OF UTAH, P.C.
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 281-3030
Get Directions

RETINA ASSOCIATES OF UTAH, P.C. is a retina specialist ophthalmology in Salt Lake City, UT. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA ASSOCIATES OF UTAH, P.C. NPI is 1396867214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT
ZIP 84107-771
Phone: (801) 281-3030
Fax: (801) 281-3033

The provider's authorized official is Debbie G Wilkinson .
The authorized official title is Practice Manager and has the following contact phone number (801) 312-2010.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 2/5/2018.

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 State	Primary
1	207W00000X	Ophthalmology		UTAH	No
2	207W00000X	Ophthalmology			No
3	207WX0107X	Ophthalmology	Retina Specialist		Yes

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
1	CS8665	OTHER		RAILROAD MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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