NPI 1407470040

Eye Doctor LLC

Organisation Optometrist Ogden, UT

Practice location

Address: 5331 Adams Ave Pkwy STE B, Ogden, UT 84405-4755
Phone: (801) 479-7850
Fax: (801) 479-7825
Mailing address: 11187 S 2865 W, South Jordan, UT 84095-8438

Authorised official

Name: Jeremiah V Church
Title: Optometrist
Phone: (801) 479-7850

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Utah →

Low Vision Rehabilitation Optometrist

Eye and Vision Services Providers Taxonomy 152WL0500X

Registry record

NPI: 1407470040
Entity type: Organization
NPI issued: 29 May 2020
Record last updated: 29 May 2020

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.