MEDICARE: VISION EXPERTS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1225136831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION EXPERTS INC.

Provider Business Mailing Address
First Line	:	404 WASHINGTON BLVD
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-6321
Country	:	US
Telephone Number	:	801-621-1475
Fax Number	:	801-627-1054

Provider Business Practice Location Address
First Line	:	3620 W 3500 S
Second Line	:
City	:	WEST VALLEY
State	:	UT
Zip	:	84120-3302
Country	:	US
Telephone Number	:	801-966-9975
Fax Number	:	801-963-3900

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	TAMMIE J DAVIS
Credential	:
Telephone Number	:	801-621-1475

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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Directions to “VISION EXPERTS INC. ” Practice Location

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