Healthy Eyes Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

59229269934 Issued in UT

Legal business name

HEALTHY EYES ASSOCIATES LLC

Doing business as

Healthy Eyes for Life

Practice address

8806 Redwood Rd
Ste. 101
West Jordan, UT 84088-9337

Phone

(801) 578-2020

Fax

(801) 748-4892

NPI assigned

Jun 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jory T Kimball, O.D.NPI 1962592782

Title

Optometrist

Phone

(801) 578-2020

Specialties & licenses 1

Addresses

Other names 1

• Healthy Eyes for Life Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jory T Kimball, O.D.

  • Optometrist
  • West Jordan, UT
  • NPI 1962592782
  Medicare reassignment NPD Authorized official
• Todd Evan Kimball, O.D.

  • Optometrist
  • Salt Lake City, UT
  • NPI 1932292281
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1063619740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 REDWOOD RD",
            "address_2": "STE. 101",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889337",
            "telephone_number": "801-578-2020",
            "fax_number": "801-748-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 REDWOOD RD",
            "address_2": "STE. 101",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889337",
            "telephone_number": "801-578-2020",
            "fax_number": "801-748-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EYES ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-578-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "59229269934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Eyes for Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Havird
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• Lynda R Healey, APRN
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• Makenna Heath
• Tiffany Hebert
• Olivia Hebertson
• Vineka Heeramun
• Andrew Brice Heinecke, FNP-C

• Optometrist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.