NPI 1194910281

Dept of Ophthalmology

Organisation Ophthalmology Physician Salt Lake City, UT

Practice location

Address: 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001
Phone: (801) 581-3195
Mailing address: PO Box 413075, Salt Lake City, UT 84141-3075

Authorised official

Name: Randall Olson
Title: Department Chair
Phone: (801) 581-3195

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Utah →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Utah →

Registry record

NPI: 1194910281
Entity type: Organization
NPI issued: 11 Sep 2007
Record last updated: 7 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.