Provo Vision & Eye Care

LBN: Provo Vision & Eye Care
Provo Vision & Eye Care is an health care organization with primary practice located at 1313 S University Ave , Provo UT 84601-5943. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Provo Vision & Eye Care can be contacted via phone (971) 217-9763, or through Vega, Baltazar via phone (971) 217-9763.

Contact Information

Primary practice address
1313 S University Ave Provo UT 84601-5943
Phone: (971) 217-9763
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vega, Baltazar Doctor of Optometry (OD)
Phone: (971) 217-9763

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X
Eye and Vision Services Providers / Pediatrics 152WP0200X
Eye and Vision Services Providers / Sports Vision 152WS0006X
Eye and Vision Services Providers / Vision Therapy 152WV0400X
Eye and Vision Services Providers / Occupational Vision 152WX0102X

Profile Details

NPI number 1568006500
LBN Legal business name Provo Vision & Eye Care
DBA Doing business as
Authorized official Vega, Baltazar Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2019
Last updated Nov 2nd, 2019 - about 6 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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