Southern Utah Eye Care Inc

LBN: Southern Utah Eye Care Inc
Southern Utah Eye Care Inc is an health care organization with primary practice located at 10 Diagonal St Ste 101, St George UT 84770-2878. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southern Utah Eye Care Inc can be contacted via phone (435) 673-3201, or through Miller, Russell M via phone (435) 673-3201.

Contact Information

Primary practice address
10 Diagonal St Ste 101 St George UT 84770-2878
Phone: (435) 673-3201
Fax: (435) 673-3225
Website:
Map and Directions
Authorized official contact:
Name: Miller, Russell M Doctor of Optometry (OD)
Phone: (435) 673-3201

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 91113354 Utah

Profile Details

NPI number 1396919809
LBN Legal business name Southern Utah Eye Care Inc
DBA Doing business as
Authorized official Miller, Russell M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2008
Last updated Dec 27th, 2012 - about 14 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 1396919809 NPPES
Utah MEDICAID 528942447004
Utah MEDICAID 529069554007

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