NPI 1114206034

David O. Edmunds

Practitioner Optometrist Provo, UT

Practice location

Address: 1055 N 300 W STE 204, Provo, UT 84604-3374
Phone: (801) 357-7373
Fax: (801) 357-7217
Mailing address: 7321 Balmer St Bldg 570, Hill Afb, UT 84056-5012

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 9037744-9934 (UT)

Other Optometrist providers in Utah →

Registry record

NPI: 1114206034
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2011
Record last updated: 22 Oct 2019

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.