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General NPI Number Information
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NPI Number | 1932343191
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Entity Type | Organization
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Legal Business Name | GARY TREMAYNE, O.D. AND ASSOCIATES LLC
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1543 W 12600 S STE 104
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City | RIVERTON
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State | UT
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Zip | 84065-7176
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Country | US
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Telephone | 801-208-0734
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Fax | 801-666-2020
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Provider Business Mailing Address
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Address Line | 1543 W 12600 S STE 104
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City | RIVERTON
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State | UT
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Zip | 84065-7176
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Country | US
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Telephone | 801-208-0734
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Fax | 801-666-2020
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY TREMAYNE
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Credential | O.D.
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Telephone | 801-208-0734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 60294799934
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License Number State | UT
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