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

DR. STEPHEN BROCKBANK, O.D.

Active Sole Proprietor

DR. STEPHEN BROCKBANK, O.D. is a Optometrist healthcare provider located in SALT LAKE CITY, Utah. NPI 1508973397 is currently active in the NPPES registry. Verify at CMS.

Optometrist · SALT LAKE CITY, UT

Registration Details

NPI Number: 1508973397
Provider Type: Individual
Gender: Male
NPI Issued: Aug 25, 2006 (19.942092243449 yrs)
Last Updated: Jun 4, 2013
License: 5601485-9934 (UT)
Sole Proprietor: Yes

Practice Information

Address: 222 S MAIN ST

SUITE 110

SALT LAKE CITY, UT, 841012174
Browse UT providers · Browse ZIP 84101
Phone: 8014562020
Fax: 8014562021
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in SALT LAKE CITY, UT

Name	Credential	NPI
MRS. KARRI A BURESH	OD	1124009824
TERRY H BERNER	OD	1295716538
WILLIAM J BOGUS	O.D.	1265414569
NATHAN RAY GREEN	O.D.	1821076555
DR. KEITH J. CASTLETON	O.D.	1730168071
DR. MIKE MITCHELL	O.D.	1851362339

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.