Provo Vision & Eye Care

NPI #1568006500 in Provo, Utah

Provider Information

NPI Number: 1568006500
Entity Type: Organization
Organization Name: Provo Vision & Eye Care
Primary Specialty: Optometrist
Enumeration Date: Nov 2, 2019
Last Updated: Nov 2, 2019

Practice Location

Address: 1313 S UNIVERSITY AVE
City: Provo
State: Utah
ZIP Code: 84601-5943
Phone: (971) 217-9763

Authorized Official

Name: DR. BALTAZAR VEGA, OD
Title: OWNER/OPTOMETRIST
Phone: (971) 217-9763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X
Optometrist	152W00000X	Primary

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