Provider Demographics
NPI:1831769504
Name:ORCHARD EYE CENTER LLC
Entity type:Organization
Organization Name:ORCHARD EYE CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JON
Authorized Official - Last Name:HILLAM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:801-658-5486
Mailing Address - Street 1:910 E 100 N STE 125
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-1638
Mailing Address - Country:US
Mailing Address - Phone:575-291-5735
Mailing Address - Fax:
Practice Address - Street 1:910 E 100 N STE 125
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-1638
Practice Address - Country:US
Practice Address - Phone:801-658-5486
Practice Address - Fax:801-658-5496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty