Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY L BROADHEAD, O.D.

Active Sole Proprietor

DR. JEFFREY L BROADHEAD, O.D. is a Optometrist healthcare provider located in SOUTH JORDAN, Utah. NPI 1306829569 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SOUTH JORDAN, UT

Registration Details

NPI Number: 1306829569
Provider Type: Individual
Gender: Male
NPI Issued: Nov 22, 2005 (20.691360309658 yrs)
Last Updated: Jun 23, 2015
License: 4826018-9934 (UT)
Sole Proprietor: Yes

Practice Information

Address: 3556 W 9800 S

SUITE 104

SOUTH JORDAN, UT, 840953211
Browse UT providers · Browse ZIP 84095
Phone: 8012536590
Fax: 8012536591
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in SOUTH JORDAN, UT

Name	Credential	NPI
DALE F HARDY	O.D.	1356343487
DR. RYAN J MORTENSEN	O.D.	1003818576
DR. JEFFERY LOVELL MELLOR	O.D., M.ED.	1518975226
DR. CARLYLE DEREK SWAIN	O.D.	1184725632
SHELLY L NIELSEN	OD	1699864801
DR. KURT PERRY HEPWORTH	O.D	1457531428

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.