Family Eye Care Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

9413616-9934 Issued in UT

Legal business name

FAMILY EYE CARE CENTER

Practice address

981 S Main St Ste 220
Logan, UT 84321-6055

Phone

(435) 363-2980

Fax

(435) 514-0075

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Michael Wayne ColeNPI 1689970667

Title

Owner

Phone

(435) 363-2980

Specialties & licenses 1

Addresses

Other names 1

• Child and Family Eye Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

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

• Michael Wayne Cole, O.D.

  • Optometrist
  • Logan, UT
  • NPI 1689970667
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1104209188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 S MAIN ST STE 220",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216055",
            "telephone_number": "435-363-2980",
            "fax_number": "435-514-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 S MAIN ST STE 220",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216055",
            "telephone_number": "435-363-2980",
            "fax_number": "435-514-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-363-2980"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "9413616-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child and Family Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyemart Express LLC
• Alexa Facer
• Chad J Fairbanks
• Sharon V Fairbourn, CCC-SLP
• Family Counseling of Logan
• Family Institute of Northern Utah
• Family Solutions Counseling
• Bonnie R Farmer
• Rebecca Farnsworth, LCMHC
• Heather Lynne Farrell

• Clinic/Center in Logan, UT
• Providers in Logan, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.