Department Of Ophthalmology - Pediatric Division

Optometrist Center


  
100 Mario Capecchi Dr, # 3650, Salt Lake City
Utah, 84112-8924

 801-581-3195   Maps & Directions
Department Of Ophthalmology - Pediatric Division is a Optometrist Center in Salt Lake City, Utah. It is situated at 100 Mario Capecchi Dr, # 3650, Salt Lake City and its contact number is 801-581-3195. The authorized person of Department Of Ophthalmology - Pediatric Division is Randall J Olson who is Department Chair of the clinic and their contact number is 801-581-3195.
Department Of Ophthalmology - Pediatric Division 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:
Department Of Ophthalmology - Pediatric Division 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:100 Mario Capecchi Dr, # 3650, Salt Lake City,
Utah, 84112-8924
Phone:801-581-3195
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: Randall J Olson
Position: Department Chair
Contact Number: 801-581-3195
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 Department Of Ophthalmology - Pediatric Division Center are as mentioned below.
NPI Number: 1467497156
NPI Enumeration Date: 18 Jun, 2006
NPI Last Update On: 20 Sep, 2011

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Department Of Ophthalmology - Pediatric Division are as mentioned below.
SpecializationLicense NumberStateStatus
Ophthalmology Primary
Optometrist Secondary
Pediatrics Secondary
Contact Lens Secondary
Contact Lens Fitter Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
100503637OtherNevadaNevada Medicaid
122451400OtherWyomingWyoming Medicaid
806964900OtherIdahoIdaho Medicaid
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Department Of Ophthalmology - Pediatric Division
65 Mario Capecchi Dr,
Salt Lake City, Utah
Zip: 84132-0001
Phone Number: 801-581-3195
Patients can reach Department Of Ophthalmology - Pediatric Division at 100 Mario Capecchi Dr, # 3650, Salt Lake City, Utah or can call to book an appointment on 801-581-3195. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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