Organization Active NPI

Desert View Eyecare

  • Optometrist
  • St George, UT
National Provider Identifier
1124643226
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DESERT VIEW EYECARE
Practice address
15 South River Road St. 150
St. George, UT 84790
Phone
(435) 465-2230
NPI assigned
Jun 15, 2020
Last updated
Aug 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Sherrie Lynn Large
Title
Credentialing Manager
Phone
(505) 787-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

15 South River Road St. 150
St. George, UT 84790

Mailing address

15 S River Rd Ste 150
St George, UT 84790-2106
Phone (435) 465-2230

National Provider Directory

National Provider Directory

Locations

1330 S Providence Center Dr
Ste 2
Cedar City, UT 84720
Phone (435) 865-2809

70 E 200 N
Ste 2
Cedar City, UT 84720
Phone (435) 465-2230

15 S River Rd
Ste 150
St George, UT 84790
Phone (435) 465-2230

Practitioners & affiliated clinicians

Practitioners 4

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": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1124643226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S RIVER RD STE 150",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902106",
            "telephone_number": "435-465-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SOUTH RIVER ROAD ST. 150",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-465-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VIEW EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "LARGE",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "505-787-0069"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.