Provider Demographics
NPI:1740587625
Name:RED CLIFFS EYE CARE, INC.
Entity Type:Organization
Organization Name:RED CLIFFS EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:J
Authorized Official - Last Name:THATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:435-986-3770
Mailing Address - Street 1:625 W TELEGRAPH ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-1541
Mailing Address - Country:US
Mailing Address - Phone:435-986-3770
Mailing Address - Fax:435-986-3772
Practice Address - Street 1:625 W TELEGRAPH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-1541
Practice Address - Country:US
Practice Address - Phone:435-986-3770
Practice Address - Fax:435-986-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1132139934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty