NPIMap

Organization Active NPI

Mellor Eyecare

  • Optometrist
  • Draper, UT
National Provider Identifier
1083938500
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MELLOR EYECARE
Practice address
15037 Winged Bluff LN
Draper, UT 84020-5719
Phone
(801) 867-9382
NPI assigned
Mar 26, 2010
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Dr. Jeffery Lovell Mellor, ODNPI 1518975226
Title
Owner
Phone
(801) 867-9382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

15037 Winged Bluff LN
Draper, UT 84020-5719

Mailing address

15037 Winged Bluff LN
Draper, UT 84020-5719
Phone (801) 867-9382

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1083938500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15037 WINGED BLUFF LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205719",
            "telephone_number": "801-867-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15037 WINGED BLUFF LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205719",
            "telephone_number": "801-867-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLOR EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "MELLOR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "LOVELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-867-9382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.