Dr. Shawn Beagley, O.D.
Optometrist in West Valley, UT. Individual provider (NPI-1).
NPI number1982602231
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1982602231
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shawn Beagley
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2005
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5950051-9934 | UT | Yes |
Practice location
3747 S 2700 WInside Costco
West Valley, UT 84119-3721
Phone 801-996-9021
Mailing address
6456 W Davin View DrHerriman, UT 84096-5727
Phone 801-512-9108
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