Provider Demographics
NPI:1760818850
Name:CORNERSTONE VISION CENTER LLC
Entity Type:Organization
Organization Name:CORNERSTONE VISION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-254-7575
Mailing Address - Street 1:13454 S MONARCH MEADOWS PKWY
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84096-2562
Mailing Address - Country:US
Mailing Address - Phone:801-254-7575
Mailing Address - Fax:801-254-5585
Practice Address - Street 1:13454 S MONARCH MEADOWS PKWY
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84096-2562
Practice Address - Country:US
Practice Address - Phone:801-254-7575
Practice Address - Fax:801-254-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8598574-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty