Wasatch Eyeworks Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2774349934 Issued in UT

Legal business name

WASATCH EYEWORKS INC

Practice address

6525 S State St
Murray, UT 84107-7218

Phone

(801) 685-7989

Fax

(801) 685-9105

NPI assigned

Jan 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Marty, ODNPI 1497743942

Title

Owner

Phone

(801) 598-1477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Marty, OD

  • Optometrist
  • Murray, UT
  • NPI 1497743942
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083765168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13489 CORNER BRIDGE LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207803",
            "telephone_number": "801-572-9789",
            "fax_number": "801-685-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 S STATE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077218",
            "telephone_number": "801-685-7989",
            "fax_number": "801-685-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH EYEWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-598-1477",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "2774349934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Warner, MD
• Ethan R Warnock, DPM
• Julie Ann Warr, CSW, ASUDC
• Preston D Warren
• Wasatch Brain and Spine
• Wasatch Infusion
• Wasatch Integrated Wellness, LLC
• Wasatch Neurological Clinic
• Wasatch Psychotherapy and Consulting
• Wasatch Wellness Center LLC (Renew Health of Utah)

• Optometrist in Murray, UT
• Providers in Murray, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.