Provider Demographics
NPI:1346232196
Name:INSIGHT EYE SPECIALISTS PC
Entity Type:Organization
Organization Name:INSIGHT EYE SPECIALISTS PC
Other - Org Name:MICHAEL D WASHBURN PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-773-0690
Mailing Address - Street 1:2255 N 1700 W
Mailing Address - Street 2:#100
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-1140
Mailing Address - Country:US
Mailing Address - Phone:801-773-0690
Mailing Address - Fax:801-773-0697
Practice Address - Street 1:2255 N 1700 W
Practice Address - Street 2:#100
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-1140
Practice Address - Country:US
Practice Address - Phone:801-773-0690
Practice Address - Fax:801-773-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT52947118500001Medicaid
UTE00017Medicare UPIN
UT529563099005Medicaid