Healthcare Provider Details

I. General information

NPI: 1356270987
Provider Name (Legal Business Name): EPIC EYE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 S 1050 E
HYDE PARK UT
84318-3587
US

IV. Provider business mailing address

35 S 1050 E
HYDE PARK UT
84318-3587
US

V. Phone/Fax

Practice location:
  • Phone: 801-618-8251
  • Fax:
Mailing address:
  • Phone: 801-618-8251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: KARL THOMAS JEPSON
Title or Position: OPTOMETRIST
Credential: OD
Phone: 801-618-8251