Provider Demographics
NPI:1760544852
Name:INSIGHT EYE SPECIALISTS PC
Entity Type:Organization
Organization Name:INSIGHT EYE SPECIALISTS PC
Other - Org Name:INSIGHT OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:801-773-0690
Mailing Address - Street 1:2255 NORTH 1700 WEST
Mailing Address - Street 2:STE. 100
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041
Mailing Address - Country:US
Mailing Address - Phone:801-773-0690
Mailing Address - Fax:801-773-0697
Practice Address - Street 1:2255 NORTH 1700 WEST
Practice Address - Street 2:STE. 100
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041
Practice Address - Country:US
Practice Address - Phone:801-773-0690
Practice Address - Fax:801-773-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT0555510001Medicare NSC