Healthcare Provider Details

I. General information

NPI: 1093638876
Provider Name (Legal Business Name): PEAKS EYE PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2819 S 5600 W
WEST VALLEY CITY UT
84120-4605
US

IV. Provider business mailing address

7533 S CENTER VIEW CT # 5475E
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 801-606-2774
  • Fax:
Mailing address:
  • Phone: 801-215-9422
  • Fax: 801-606-2774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARY BODNAR
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 801-215-9422