Healthcare Provider Details

I. General information

NPI: 1427115831
Provider Name (Legal Business Name): BRIGHAM EYE SPECIALISTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 MEDICAL DR
BRIGHAM CITY UT
84302-4713
US

IV. Provider business mailing address

990 SOUTH MEDICAL DR STE G3
BRIGHAM CITY UT
84302-4713
US

V. Phone/Fax

Practice location:
  • Phone: 435-734-2097
  • Fax: 435-734-0532
Mailing address:
  • Phone: 435-734-2097
  • Fax: 435-734-0532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1713361205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number114009-9934
License Number StateUT
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number171336-1205
License Number StateUT
# 4
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number3482731205
License Number StateUT

VIII. Authorized Official

Name: DR. SCOTT D TURNER
Title or Position: DOCTOR/OWNER
Credential: MD
Phone: 435-734-2097