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Active NPI 1720185952 Organization (Entity Type 2)

Optometryprnpc

Optometrist • Midvale, UT

About Optometryprnpc NPI 1720185952 Summary

Optometryprnpc is a verified healthcare organization specializing in Optometrist operating in Midvale, UT. Located at 914 FORT UNION BLVD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1720185952.

Administrative operations and authorized compliance are overseen by Tina Martin (Optometrist, Owner).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

914 Fort Union Blvd

Midvale, UT 840471714

Telephone 8015614282
Fax 8015614283

Authorized Official Information

Authorized Contact Name

Tina Martin , O.D.

Title / Role

Optometrist, Owner

Official Telephone

8015614282

Facility Classifications & Specialties

Optometrist Primary Taxonomy

NUCC Taxonomy Code: 152W00000X

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Optometrist

Midvale, UT

View Practitioner Profile →
Dr. Tina Martin , OD NPI 1821189689

Optometrist

Midvale, UT

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 914 FORT UNION BLVD, MIDVALE, UT 840471714 (Tel: 8015614282)

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Updated Business Mailing Address July 08, 2007

Registered at 914 FORT UNION BLVD, MIDVALE, UT 840471714 (Tel: 8015614282)

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Organization / Clinic Name Updated July 08, 2007

Operating as OPTOMETRYPRNPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist

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Initial NPI Registration & Enumeration September 20, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1720185952
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 20, 2006
Last Update: August 22, 2020

Mailing Address

914 Fort Union Blvd

Midvale, UT 840471714

Phone: 8015614282

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.