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1649046269
MT OGDEN EYE CENTER LLC
SALT LAKE CITY, UT
NPI
1649046269
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Entity Type
Organization
Authorized Contact
JIMMY SMITH
CEO
801-476-0494
Organization Subpart ?
No
Primary Taxonomy
332H00000X Eyewear Supplier
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
MT OGDEN EYE CENTER LLC
1025 E 3300 S
SALT LAKE CITY, UT 84106-2849
Phone number: 801-221-2020
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Mailing Address
MT OGDEN EYE CENTER LLC
4360 WASHINGTON BLVD ATTN CREDENTIALING
OGDEN, UT 84403-1866
Phone number: 801-476-0494
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