IndividualActive
Angelica Echiverri, OD
NPI 1356032205 · Optometrist · Provo, UT
Provider details
- NPI number
- 1356032205
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- OPC6261 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
122 E 1700 S Bldg 3
Provo, UT 84606-5644
Phone: (385) 248-5550
Approximate (ZIP-level) locationGet directions
Mailing address
7865 S Bingham Junction Blvd Unit D417
Midvale, UT 84047-4977
Registry dates
- Enumerated
- 2023-05-19
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.