IndividualActive
Agnieszka Krol, OD
NPI 1467012781 · Optometrist · Centerville, UT
Provider details
- NPI number
- 1467012781
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 046.011314 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
200 N Market Place Dr
Centerville, UT 84014-1752
Phone: (801) 295-7118
Fax: (801) 295-7123
Approximate (ZIP-level) locationGet directions
Mailing address
869 E 4500 S Ste 270
Salt Lake City, UT 84107-3049
Registry dates
- Enumerated
- 2019-06-18
- Last updated
- 2023-12-28
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.