Logan River Eye Care

NPI #1790149912 in Logan, Utah

Provider Information

NPI Number: 1790149912
Entity Type: Organization
Organization Name: Logan River Eye Care
Primary Specialty: Optometrist
Enumeration Date: Apr 13, 2016
Last Updated: Aug 3, 2016

Practice Location

Address: 1150 S 100 W
City: Logan
State: Utah
ZIP Code: 84321-5573
Phone: (435) 754-3459

Authorized Official

Name: SCOTT MILLER
Title: OPTOMETRIST
Phone: (435) 754-3459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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