MEDICARE: TREVOR RIGBY

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
1	152W00000X	Optometrist	14264827-9934	UT

General Provider Information

NPI Number	:	1831987262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TREVOR RIGBY

Provider Business Mailing Address
First Line	:	88 W 50 S UNIT R3
Second Line	:
City	:	CENTERVILLE
State	:	UT
Zip	:	84014-2360
Country	:	US
Telephone Number	:	801-989-9619
Fax Number	:

Provider Business Practice Location Address
First Line	:	1055 N WASHINGTON BLVD
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84404-3605
Country	:	US
Telephone Number	:	570-980-1394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2025
Last Update Date	:	12/19/2025

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Directions to “ TREVOR RIGBY ” Practice Location

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