Provider Demographics
NPI:1932514593
Name:EYE CARE SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:EYE CARE SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-572-3937
Mailing Address - Street 1:9565 S 700 E STE 101
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-3482
Mailing Address - Country:US
Mailing Address - Phone:801-572-3937
Mailing Address - Fax:801-576-8316
Practice Address - Street 1:9565 S 700 E STE 101
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-3482
Practice Address - Country:US
Practice Address - Phone:801-572-3937
Practice Address - Fax:801-576-8316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT111824-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty