Unknown Individual – Optometrist, NPI 1477743680
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
620, Villager Lane, Midvale, Salt Lake County, Utah, 84047, United States
MIDVALE, UT 840474633
Phone: (801) 567-9611
Type: Mailing
3180 S 5600 W
WEST VALLEY CITY, UT 841201300
Phone: (801) 966-8497
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84047)
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