Powder Basin Eyepros LLC

NPI #1467203539 in Eden, Utah

Provider Information

NPI Number: 1467203539
Entity Type: Organization
Organization Name: Powder Basin Eyepros LLC
Primary Specialty: Optometrist
Enumeration Date: Mar 28, 2024
Last Updated: Mar 28, 2024

Practice Location

Address: 2143 N 5500 E
City: Eden
State: Utah
ZIP Code: 84310
Phone: (267) 736-6335

Authorized Official

Name: RYAN GRANT HAYES, OD
Title: OWNER
Phone: (267) 736-6335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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