Jamestown Eye Care Center LLC

NPI #1245413772 in Provo, Utah

Provider Information

NPI Number: 1245413772
Entity Type: Organization
Organization Name: Jamestown Eye Care Center LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 6, 2007
Last Updated: Oct 12, 2012

Practice Location

Address: 3651 N 100 E STE 250
City: Provo
State: Utah
ZIP Code: 84604-4518
Phone: (801) 373-3337

Authorized Official

Name: DR. PHILLIP ANTHONY PLOTHOW, O.D.
Title: DOCTOR
Phone: (801) 373-3337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Optometrist	152W00000X	Primary

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