Progressive Eye Care, LLC

NPI #1659917706 in Murray, Utah

Provider Information

NPI Number: 1659917706
Entity Type: Organization
Organization Name: Progressive Eye Care, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PROGRESSIVE EYE CARE, LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 25, 2019
Last Updated: Nov 25, 2019

Practice Location

Address: 192 E 4500 S
City: Murray
State: Utah
ZIP Code: 84107-2628
Phone: (801) 261-2020

Authorized Official

Name: JEFFREY L BROADHEAD, OD
Title: MANAGING MEMBER
Phone: (801) 676-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist	152W00000X	Primary

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