Provider Demographics
NPI:1275221814
Name:RED CLIFFS EYE CENTER, PLLC
Entity Type:Organization
Organization Name:RED CLIFFS EYE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REED
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-634-0420
Mailing Address - Street 1:754 S MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5518
Mailing Address - Country:US
Mailing Address - Phone:435-634-0420
Mailing Address - Fax:435-634-5409
Practice Address - Street 1:754 S MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5518
Practice Address - Country:US
Practice Address - Phone:435-634-0420
Practice Address - Fax:435-634-5409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty