Provider Demographics
NPI:1386750263
Name:PRECISION EYE CARE PLLC
Entity type:Organization
Organization Name:PRECISION EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:I
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-262-2020
Mailing Address - Street 1:6095 FASHION BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7397
Mailing Address - Country:US
Mailing Address - Phone:801-262-2020
Mailing Address - Fax:801-262-9664
Practice Address - Street 1:6095 FASHION BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7397
Practice Address - Country:US
Practice Address - Phone:801-262-2020
Practice Address - Fax:801-262-9664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT56972519934332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier