Basic Information
| Provider Information | |||||||||
| NPI: | 1760569651 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNGRICHT PARKER EYE ASSOCIATES INC | ||||||||
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| OtherOrganizationName: | UNGRICHT PARKER EYE ASSOCIATES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5770 S 250 E | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | MURRAY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841078100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8013144420 | ||||||||
| FaxNumber: | 8013144421 | ||||||||
| Practice Location | |||||||||
| Address1: | 5770 S 250 E | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | MURRAY | ||||||||
| State: | UT | ||||||||
| PostalCode: | 841078100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8013144420 | ||||||||
| FaxNumber: | 8013144421 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 03/11/2015 | ||||||||
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| AuthorizedOfficialLastName: | UNGRICHT | ||||||||
| AuthorizedOfficialFirstName: | ALBERT | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8013144420 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.