Provider Demographics
NPI:1578949699
Name:DUVAL EYE CARE, LLC
Entity Type:Organization
Organization Name:DUVAL EYE CARE, LLC
Other - Org Name:NEW SIGHT VISION THERAPY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:ACEL
Authorized Official - Last Name:DUVAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-800-8508
Mailing Address - Street 1:320 W. RIVER PARK DRIVE
Mailing Address - Street 2:STE.245
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-6065
Mailing Address - Country:US
Mailing Address - Phone:801-800-8508
Mailing Address - Fax:801-341-0266
Practice Address - Street 1:320 W. RIVER PARK DRIVE
Practice Address - Street 2:STE.245
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-6065
Practice Address - Country:US
Practice Address - Phone:801-800-8508
Practice Address - Fax:801-341-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty
No152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty