Search › Utah › 156FX1700X
Travis Petersen, BA, MFA
NPI 1962257949 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3305 W Mayflower Way Ste 4
Lehi, UT 84048 - Phone
- (833) 208-9009
- Fax
- (866) 680-1322
- Organisation at this address
- Advanced Eye Prosthetics Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1700X
156FX1700X
- Sex
- Male
- Record last updated
- 2025-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah