Promontory Family Vision

LBN: Michael M Judkins And Associates, Inc.
Promontory Family Vision is an health care organization with primary practice located at 5331 Adams Ave Pkwy Ste B , Ogden UT 84405-4755. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Michael M Judkins And Associates, Inc. can be contacted via phone (385) 626-7699, or through Deroche, Spring via phone (385) 626-7699.

Contact Information

Primary practice address
5331 Adams Ave Pkwy Ste B Ogden UT 84405-4755
Phone: (385) 626-7699
Fax: (385) 626-7816
Website:
Map and Directions
Authorized official contact:
Name: Deroche, Spring
Phone: (385) 626-7699

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 375535-9934 Utah

Profile Details

NPI number 1871696179
LBN Legal business name Michael M Judkins And Associates, Inc.
DBA Doing business as Promontory Family Vision
Authorized official Deroche, Spring
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Sep 14th, 2023 - about 3 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 1871696179 NPPES
Utah MEDICAID 529378983004

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