Provider Demographics
NPI:1225136831
Name:VISION EXPERTS INC.
Entity Type:Organization
Organization Name:VISION EXPERTS INC.
Other - Org Name:KNIGHTON VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-621-1475
Mailing Address - Street 1:404 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-6321
Mailing Address - Country:US
Mailing Address - Phone:801-621-1475
Mailing Address - Fax:801-627-1054
Practice Address - Street 1:3620 W 3500 S
Practice Address - Street 2:
Practice Address - City:WEST VALLEY
Practice Address - State:UT
Practice Address - Zip Code:84120-3302
Practice Address - Country:US
Practice Address - Phone:801-966-9975
Practice Address - Fax:801-963-3900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========003Medicaid
UT5480010002Medicare NSC