Jeremiah V Church, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5596291-9934 Issued in UT

Practice address

875 Country Hills Dr
Ogden, UT 84403-2200

Phone

(801) 399-1149

NPI assigned

Aug 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Country Hills Eye CenterGroup PAC ID 4688629769, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as apm

Quality

80.65

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: jeremiah.church.p1@direct.checdocs.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jchurch@chec.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Country Hills Eye Center

  dba True Vision Physicians and Surgeons

  • Specialist
  • South Ogden, UT
  • NPI 1447460464

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Michael M Judkins and Associates, Inc.

  dba Promontory Family Vision

  • Optometrist
  • Ogden, UT
  • NPI 1871696179
  NPD
• True Vision Surgical Suite LLC

  • Ambulatory Surgical Clinic/Center
  • South Ogden, UT
  • NPI 1932091873
  NPD (past)

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1083962245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 E RIDGELINE DR STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054947",
            "telephone_number": "801-399-1149",
            "fax_number": "801-399-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 COUNTRY HILLS DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032200",
            "telephone_number": "801-399-1149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5991 S 3500 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Roy",
            "state": "UT",
            "postal_code": "840676702",
            "country_code": "US",
            "telephone_number": "801-399-1149",
            "fax_number": "801-399-0248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1483 E Ridgeline Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844054977",
            "country_code": "US",
            "telephone_number": "801-399-1149",
            "fax_number": "801-399-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "JEREMIAH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5596291-9934",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "5596291-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucus Craig Webb Christoffersen, NP
• Christopher F. Penka, M.D., P.a., Inc.
• Colbie Robin Christopher, APRN
• Breann Christopherson, RN
• George John Christophiades, PHARMD
• Mauri Church
• Viridiana Cid Vazquez
• Spencer Cieslak
• Cima Ogden Auberge Opco LLC
• Kesley Clampitt, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.