Optometric Physician LLC

NPI #1700087335 in Highland, Utah

Provider Information

NPI Number: 1700087335
Entity Type: Organization
Organization Name: Optometric Physician LLC
Primary Specialty: Optometrist
Enumeration Date: May 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5455 W 11000 N
Address 2: SUITE 101
City: Highland
State: Utah
ZIP Code: 84003-8800
Phone: (801) 756-9357

Authorized Official

Name: DR. KEVIN JAY FROMM, O.D.
Title: MANAGER
Phone: (801) 756-9357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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