Provider Demographics
NPI:1689736126
Name:CUTLER, GARY D (OD)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:D
Last Name:CUTLER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:195 E GENTILE ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-3754
Mailing Address - Country:US
Mailing Address - Phone:801-546-2020
Mailing Address - Fax:801-546-1237
Practice Address - Street 1:195 E GENTILE ST
Practice Address - Street 2:SUITE 3
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-3754
Practice Address - Country:US
Practice Address - Phone:801-546-2020
Practice Address - Fax:801-546-1237
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT1097449934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU000072740Medicare PIN