NPI 1184725632

Carlyle Derek Swain, OD

Practitioner Optometrist South Jordan, UT

Practice location

Address: 11328 S Jordan Gtwy, South Jordan, UT 84095-4112
Phone: (801) 571-1364
Mailing address: 1107 W 8600 S, West Jordan, UT 84088-8432

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 328411-9934 (UT)

Other Optometrist providers in Utah →

Registry record

NPI: 1184725632
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2006
Record last updated: 8 Jul 2007

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.