Healthcare Provider Details

I. General information

NPI: 1649245333
Provider Name (Legal Business Name): ESPLIN EYE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 S 400 W
SPANISH FORK UT
84660-2053
US

IV. Provider business mailing address

59 S 400 W PO BOX 267
SPANISH FORK UT
84660-1802
US

V. Phone/Fax

Practice location:
  • Phone: 801-794-3937
  • Fax: 801-794-9880
Mailing address:
  • Phone: 801-794-3937
  • Fax: 801-794-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number56790148908
License Number StateUT

VIII. Authorized Official

Name: DAVID J ESPLIN
Title or Position: OWNER DOCTOR
Credential: OD
Phone: 801-794-3937