DEPARTMENT OF OPHTHALMOLOGY - PEDIATRIC DIVISION

SALT LAKE CITY, UT
NPI1467497156
Entity TypeOrganization
Authorized ContactRANDALL J OLSON
Department Chair
801-581-3195
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
Additional Taxonomies152W00000X Optometrist
152WP0200X Optometrist Pediatrics
156FC0800X Technician/Technologist Contact Lens
156FC0801X Technician/Technologist Contact Lens Fitter
Enumeration Date2006-06-18
Last Update Date2011-09-20
Business Address
DEPARTMENT OF OPHTHALMOLOGY - PEDIATRIC DIVISION
100 MARIO CAPECCHI DR # 3650
SALT LAKE CITY, UT 84112-8924
Phone number: 801-581-3195
Mailing Address
DEPARTMENT OF OPHTHALMOLOGY - PEDIATRIC DIVISION
65 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-3195