Provider Demographics
NPI:1730311481
Name:AT HOME EYECARE INC
Entity Type:Organization
Organization Name:AT HOME EYECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:MEEK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-943-2333
Mailing Address - Street 1:PO BOX 900606
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84090-0606
Mailing Address - Country:US
Mailing Address - Phone:801-971-4660
Mailing Address - Fax:
Practice Address - Street 1:3761 LITTLE COTTONWOOD LN
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-6055
Practice Address - Country:US
Practice Address - Phone:801-943-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1115038908152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005767702Medicare PIN