Northern Utah Eye Center

NPI #1225330673 in Logan, Utah

Provider Information

NPI Number: 1225330673
Entity Type: Organization
Organization Name: Northern Utah Eye Center
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHERN UTAH EYE CENTER
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 17, 2010
Last Updated: Aug 29, 2017

Practice Location

Address: 550 E 1400 N STE T
City: Logan
State: Utah
ZIP Code: 84341-2407
Phone: (435) 752-2020

Authorized Official

Name: DR. CHRISTIAN D NILSON, M.D.
Title: OWNER
Phone: (435) 752-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X	Primary

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