Provider Demographics
NPI:1184735961
Name:HUNT, ADAM RAY (OD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:RAY
Last Name:HUNT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 W 1500 S
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-8705
Mailing Address - Country:US
Mailing Address - Phone:435-781-4874
Mailing Address - Fax:
Practice Address - Street 1:1851 W HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-4125
Practice Address - Country:US
Practice Address - Phone:435-781-8601
Practice Address - Fax:435-781-8603
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4783290-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist