Organization Active NPI

Spectrum Eye Care, LLC

Doing business as Spectrum Eye Care

  • Optometrist
  • Grantsville, UT
National Provider Identifier
1144484718
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6630201-9934 Issued in UT
Legal business name
SPECTRUM EYE CARE, LLC
Doing business as
Spectrum Eye Care
Practice address
225 E Main St
Ste E
Grantsville, UT 84029-9030
Phone
(435) 884-6562
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Ryan S Orgill, O.D.NPI 1598962755
Title
Manager
Phone
(435) 884-6562

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6630201-9934 UT Primary

Addresses

Primary practice location

225 E Main St
Ste E
Grantsville, UT 84029-9030

Mailing address

225 E Main St
Ste E
Grantsville, UT 84029-9030
Phone (435) 884-6562

Other names 1

  • Spectrum Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080807000393 UT Part B Supplier - Clinic/Group Practice 4082788161 Receives reassigned benefits from 1 practitioner
Practice locations: Grantsville, UT

National Provider Directory

National Provider Directory

Locations

163 S SR 112 Hwy
Ste 107
Grantsville, UT 84029
Phone (435) 248-0603

225 E Main St
Ste E
Grantsville, UT 84029
Phone (435) 249-0530

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1144484718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E MAIN ST",
            "address_2": "STE E",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299030",
            "telephone_number": "435-884-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E MAIN ST",
            "address_2": "STE E",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299030",
            "telephone_number": "435-884-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ORGILL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-884-6562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "6630201-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grantsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.