Whalio Doctors

NPI 1023686474

Sean Patrick Cushman, OD

Practitioner Optometrist Salt Lake City, UT

Practice location

Address
755 E 3900 S, Salt Lake City, UT 84107-2176
Phone
(801) 266-2283
Fax
(801) 268-6151
Mailing address
755 E 3900 S, Salt Lake City, UT 84107-2105

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 126805119934 (UT)

Registry record

NPI
1023686474
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2021
Record last updated
21 Sep 2023

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.