MEDICARE: EYE CARE SOLUTIONS, PLLC

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	111824-9934	UT

General Provider Information

NPI Number	:	1932514593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CARE SOLUTIONS, PLLC

Provider Business Mailing Address
First Line	:	9565 S 700 E STE 101
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-3482
Country	:	US
Telephone Number	:	801-572-3937
Fax Number	:	801-576-8316

Provider Business Practice Location Address
First Line	:	9565 S 700 E STE 101
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84070-3482
Country	:	US
Telephone Number	:	801-572-3937
Fax Number	:	801-576-8316

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. MICHAEL L. WEST
Credential	:	OD
Telephone Number	:	801-572-3937

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	06/23/2014

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