Healthcare Provider Details

I. General information

NPI: 1831182799
Provider Name (Legal Business Name): ZION EYE INSTITUTE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 01/16/2020
Certification Date: 01/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1791 E 280 N
ST GEORGE UT
84790-2463
US

IV. Provider business mailing address

1791 E 280 N
ST GEORGE UT
84790-2463
US

V. Phone/Fax

Practice location:
  • Phone: 435-656-2020
  • Fax: 435-673-4131
Mailing address:
  • Phone: 435-656-2020
  • Fax: 435-673-4131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number3020
License Number StateUT

VIII. Authorized Official

Name: MR. ZACHARY COX
Title or Position: ADMINISTRATOR
Credential:
Phone: 435-656-2020