=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659355212
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK LOUIS SALIMENO OD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2005
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5089 S ADAMS AVE STE C
-----------------------------------------------------
City | OGDEN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84403-4126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-479-7850
-----------------------------------------------------
Fax | 801-479-7825
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5089 S ADAMS AVE STE C
-----------------------------------------------------
City | OGDEN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84403-4126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-479-7850
-----------------------------------------------------
Fax | 801-479-7825
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 1087099934
-----------------------------------------------------
License Number State | UT
-----------------------------------------------------