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COTTONWOOD EYE & LASER CLINIC P.C. NPI 1972565216


NPI Information

NPI: 1972565216
Provider Name: COTTONWOOD EYE & LASER CLINIC, P.C.

Former Legal Business Name: STEVEN T JACKSON MD PC

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
201 E 5900 S
SUITE 101
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 268-6600
Get Directions

COTTONWOOD EYE & LASER CLINIC, P.C. is an ophthalmology in Salt Lake City, UT. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. COTTONWOOD EYE & LASER CLINIC, P.C. NPI is 1972565216. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Steven T Jackson Md Pc.

The provider's business location address is:

201 E 5900 S
SUITE 101
SALT LAKE CITY, UT
ZIP 84107-379
Phone: (801) 268-6600
Fax: (801) 268-6602

The provider's authorized official is Steven T. Jackson .
The authorized official title is Owner/director and has the following contact phone number (801) 268-6600.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 7/23/2007.


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
1207W00000XOphthalmologyYes

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
11083659262MEDICARE PINUTAH
21356310940MEDICARE PINUTAH
31851362339MEDICARE PINUTAH
41467411223MEDICARE PINUTAH
51699774026MEDICARE PINUTAH
61093822561MEDICARE PINUTAH
71447215173MEDICARE PINUTAH

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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