Cedar Valley Eyecare, LLC
Organization Active NPI Optometrist · Eagle Mountain, UT
NPI 1104798735 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1104798735
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CEDAR VALLEY EYECARE, LLC
- Practice address
- 4317 N Pony Express Pkwy
Eagle Mountain, UT 84005-1230 - Phone
- (801) 768-4100
- Fax
- (801) 768-0600
- NPI assigned
- Sep 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Dr. Collin Gray, OD
- Title
- Optometrist
- Phone
- (801) 473-5127
Practitioners 1
National Provider Directory
Locations
4317 N Pony Express Pkwy
Eagle Mountain, UT 84005
Phone (801) 344-6714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
4317 N Pony Express Pkwy
Eagle Mountain, UT 84005-1230
Mailing address
4317 N Pony Express Pkwy
Eagle Mountain, UT 84005-1230
Phone (801) 768-4100
Other providers in Eagle Mountain, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.