West Valley Vision Source is a Optometrist Center in West Valley City, Utah. It is situated at 2782 S 5600 W Ste 101, West Valley City and its contact number is 801-969-9999. The authorized person of West Valley Vision Source is Paul Christian Bruderer
who is Owner of the clinic and their contact number is 801-969-9999. Primary license number for West Valley Vision Source is 4942085-9934 (Optometrist) in Utah. West Valley Vision Source Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
West Valley Vision Source Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
2782 S 5600 W Ste 101, West Valley City, Utah, 84120-5592
Phone:
801-969-9999
Fax:
801-746-1007
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Paul Christian Bruderer
Position:
Owner
Contact Number:
801-969-9999
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for West Valley Vision Source Center are as mentioned below.
NPI Number:
1427241843
NPI Enumeration Date:
20 Aug, 2007
NPI Last Update On:
04 Feb, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for West Valley Vision Source are as mentioned below.
Specialization
License Number
State
Status
Optometrist
4942085-9934
Utah
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7664549
Other
Aetna
2157848
Other
First Health
528558921001
Medicaid
Utah
81648
Other
Pehp
IDX5199969
Other
Utah
University Health Care
TPRA08151
Other
Utah
Molina Healthcare
49420859901
Other
Blue Cross Blue Shield
291777
Other
Altius
5510561
Other
Ccn
788511
Other
Deseret Mutual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
West Valley Vision Source 2782 S 5600 W Ste 101, West Valley City, Utah
Zip:
84120-5592
Phone Number:
801-969-9999
Fax Number:
801-746-1007
Patients can reach West Valley Vision Source at 2782 S 5600 W Ste 101, West Valley City, Utah or can call to book an appointment on 801-969-9999. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.