MEDICARE: MITCHELL J GOFF M.D.

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	207WX0107X	Retina Specialist (Ophthalmology) Physician	7540912-1205	UT

General Provider Information

NPI Number	:	1578595153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHELL J GOFF M.D.

Provider Business Mailing Address
First Line	:	4400 S 700 E STE 200
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-3053
Country	:	US
Telephone Number	:	801-264-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 S 700 E STE 200
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-3053
Country	:	US
Telephone Number	:	801-264-4444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	11/26/2024

Similar Medicare Providers

1467559492 — ROCKY MOUNTAIN OPTICAL
Practice Location Address:

4400 S 700 E , STE 160
SALT LAKE CITY, UT
84107-3053

Practice Phone: 801-264-4430
Practice Fax: 801-264-4431

1548350150 — MARK DAVID MIFFLIN MD
Practice Location Address:

4400 S 700 E , 240
SALT LAKE CITY, UT
84107-3053

Practice Phone: 801-264-4464
Practice Fax:

1649360272 — KIM Y. TAYLOR MD
Practice Location Address:

4400 S 700 E , 240
SALT LAKE CITY, UT
84107-3053

Practice Phone: 801-264-4464
Practice Fax:

1821188459 — JEAN N. DEMARCHIS TABIN MD
Practice Location Address:

4400 S 700 E , 240
SALT LAKE CITY, UT
84107-3053

Practice Phone: 801-264-4464
Practice Fax:

1235266776 — LEGACY MEDICAL PC
Practice Location Address:

4400 S 700 E STE 140
SALT LAKE CITY, UT
84107-3053

Practice Phone: 801-288-0067
Practice Fax: 801-288-0067

1912110230 — DR. MATHESON ADAMS HARRIS M.D.
Practice Location Address:

4400 S 700 E , SUITE 130
SALT LAKE CITY, UT
84107-3053

Practice Phone: 801-264-4420
Practice Fax: 801-266-0604

Directions to “ MITCHELL J GOFF M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.