IndividualActive
Renee Mcintosh, O.D.
NPI 1003057894 · Optometrist · Draper, UT
Provider details
- NPI number
- 1003057894
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 47865699934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
11820 S State St
Ste. 200
Draper, UT 84020-7133
Phone: (801) 568-0200
Fax: (801) 563-0200
Approximate (ZIP-level) locationGet directions
Mailing address
11820 S State St
Draper, UT 84020-7133
Registry dates
- Enumerated
- 2009-03-09
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.