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NPI Code Detail

MEDICARE: DR. MATTHEW ORGILL OD

MEDICARE: DR. MATTHEW ORGILL OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist972NV

General Provider Information

NPI Number : 1073091294
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW ORGILL OD
Provider Business Mailing Address
First Line : 1800 NOVELL PL
Second Line :
City : PROVO
State : UT
Zip : 84606-6171
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1800 NOVELL PL
Second Line :
City : PROVO
State : UT
Zip : 84606-6171
Country : US
Telephone Number : 801-375-5125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2018
Last Update Date : 10/11/2023

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Directions to “ DR. MATTHEW ORGILL OD” Practice Location

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