Oculoplastic Surgery, Inc., NPI 1578780805
Ophthalmology Physician in Salt Lake City, UT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1578780805 |
| NPI Entity Type | Organization |
| Provider Name |
Oculoplastic Surgery, Inc.
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1002 E South Temple, Suite 308, Salt Lake City, UT, US |
| Provider Mailing Address | 1002 E South Temple, Suite 308, Salt Lake City, UT, US, 841021525 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | M.D. Richarld L Anderson |
| Official Position | MEDICAL DIRECTOR |
| Phone | 801-363-3355 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Ophthalmology Physician |
| Classification | |
| Group | |
| License No. | 171979-1205 |
| License State | UT |
| Description | An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 289912-1205 | UT | No | |||
| 6121812-1205 | UT | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 464491680001 | UT | MEDICAID | 05 |
| 0800304 | UT | UHC JOHN D. MCCANN | 01 |
| 485924851015 | UT | MEDICAID | 05 |
| 8806278 | UT | CIGNA JD MCCANN | 01 |
| 61218121200001 | UT | REGENCE MR VAGEFI | 01 |
| 1057048 | UT | CCN JD MCCANN | 01 |
| 169804 | UT | UHC RICHARD L. ANDERSON | 01 |
| 439484 | UT | CCN RL ANDERSON | 01 |
| 479544679030 | UT | MEDICAID | 05 |
| 47954467903001 | UT | REGENCE- R.L. ANDERSON | 01 |
| 3007900003 | UT | CIGNA RL ANDERSON | 01 |
| 48592485106001 | UT | REGENCE JDM SANDY | 01 |
| 48592485102001 | UT | REGENCE JD MCCANN | 01 |
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Dylan Smart Individual |
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Alexis Suzanne Goodwin Individual |
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