Healthcare Provider Details

I. General information

NPI: 1689508699
Provider Name (Legal Business Name): EYESEEU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4568 S HIGHLAND DR STE 380
MILLCREEK UT
84117-4213
US

IV. Provider business mailing address

5722 S MIRKWOOD LN
TAYLORSVILLE UT
84129-3959
US

V. Phone/Fax

Practice location:
  • Phone: 801-808-3130
  • Fax:
Mailing address:
  • Phone: 801-808-3130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CAMERON B COX
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 801-808-3130