Healthcare Provider Details

I. General information

NPI: 1447378302
Provider Name (Legal Business Name): CATARACT & LASIK CENTER OF UTAH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1972 W GROVE PKWY STE 200
PLEASANT GROVE UT
84062-6729
US

IV. Provider business mailing address

1972 W GROVE PKWY STE 200
PLEASANT GROVE UT
84062-6729
US

V. Phone/Fax

Practice location:
  • Phone: 801-224-6767
  • Fax: 801-221-1052
Mailing address:
  • Phone: 801-224-6767
  • Fax: 801-221-1052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2619191205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMIE MARIA MONROE
Title or Position: PARTNER
Credential: MD
Phone: 801-224-6767