EASTERN UTAH EYE PHYSICIANS NPI 1881801504

NPI Information

NPI: 1881801504
Provider Name: EASTERN UTAH EYE PHYSICIANS
Classification: Technician/Technologist - 156FX1100X
Entity Type: Organization

Specialization: Ophthalmic

Address:
200 N FAIRGROUNDS RD
SUITE 2
PRICE, UT
ZIP 84501
Phone: (435) 637-8689
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EASTERN UTAH EYE PHYSICIANS is an ophthalmic technician technologist in Price, UT. EASTERN UTAH EYE PHYSICIANS NPI is 1881801504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 N FAIRGROUNDS RD
SUITE 2
PRICE, UT
ZIP 84501-205
Phone: (435) 637-8689
Fax: (435) 637-1123

The provider's authorized official is Lynelle Hansen .
The authorized official title is Administrator and has the following contact phone number (435) 637-8689.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 1/5/2010.

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
1	174400000X	Specialist		289301-1205	UTAH	No
2	156FX1100X	Technician/Technologist	Ophthalmic	289301-1205	UTAH	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	=========001	MEDICAID	UTAH
2	1129410001	MEDICARE NSC	UTAH
3	000055722	MEDICARE ID-TYPE UNSPECIFIED	UTAH	GROUP #

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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