NPI 1508423252

Jeffrey David Zilles, OD

Practitioner Optometrist Tremonton, UT

Practice location

Address: 495 W 600 N, Tremonton, UT 84337
Phone: (435) 257-7436
Mailing address: 495 W 600 N, Tremonton, UT 84337-2411

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 11316580-9934 (UT)

Other Optometrist providers in Utah →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1508423252
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2019
Record last updated: 8 Jul 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.