Provider Demographics
NPI:1457674897
Name:PRECISION EYE CARE, PLLC DBA SALT LAKE VISION
Entity Type:Organization
Organization Name:PRECISION EYE CARE, PLLC DBA SALT LAKE VISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-870-5056
Mailing Address - Street 1:34 S 500 E
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1023
Mailing Address - Country:US
Mailing Address - Phone:801-288-2020
Mailing Address - Fax:801-350-0288
Practice Address - Street 1:34 S 500 E
Practice Address - Street 2:SUITE 201
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1023
Practice Address - Country:US
Practice Address - Phone:801-288-2020
Practice Address - Fax:801-350-0288
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISION EYE CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT56972519934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty