Organization Name: | HIDDEN VALLEY EYE CARE, INC. |
NPI Number: | 1003949850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | R BRADLEY RICE (OWNER) |
Mailing Address: | 1147 Draper Pkwy Ste A Draper |
State: | UT US |
Postal Code: | 840209096 |
Phone Number: | 8016199555 |
Fax Number: | 8014060444 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 97-344994-9934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |