Clr Vision Pc

LBN: Clr Vision Pc
Clr Vision Pc is an health care organization with primary practice located at 1675 N 200 W #11A , Provo UT 84604-2570. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Clr Vision Pc can be contacted via phone (801) 374-2227, or through Rigtrup, Chad L via phone (801) 374-2227.

Contact Information

Primary practice address
1675 N 200 W #11A Provo UT 84604-2570
Phone: (801) 374-2227
Fax: (801) 374-5197
Website:
Map and Directions
Authorized official contact:
Name: Rigtrup, Chad L Doctor of Optometry (OD)
Phone: (801) 374-2227

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5950660-9943 Utah

Profile Details

NPI number 1235304064
LBN Legal business name Clr Vision Pc
DBA Doing business as
Authorized official Rigtrup, Chad L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235304064 NPPES
Utah MEDICAID 461538993001

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