The Children's Vision Center LLC

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

Legal business name

THE CHILDREN'S VISION CENTER LLC

Practice address

1490 E Foremaster Dr Ste 120
St George, UT 84790-4493

Phone

(435) 429-1686

NPI assigned

Dec 9, 2019

Last updated

Dec 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenna O'Brien, ODNPI 1427452325

Title

Owner

Phone

(435) 429-1686

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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.

• Jenna O'Brien, O.D.

  • Optometrist
  • St George, UT
  • NPI 1427452325
  NPD Authorized official

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1174160170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 S WHITE SANDS DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808202",
            "telephone_number": "435-429-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 120",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904493",
            "telephone_number": "435-429-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-429-1686",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Thacker, ACMHC
• Megan Thacker
• Tara Lynn Thackeray, LCSW
• Verne Gerald Thamert Jr., LCSW
• Vishant Thapa, DNP-FNP
• The Chiropractic Avenue (Balanced Spinal Care)
• The Foot & Ankle Institute LLC
• The Foot & Ankle Institute LLC
• The Learning Center for Families (Root f Kids)
• The Lotus Group, Inc.

• Pediatric Optometrist in St George, UT
• Providers in St George, UT by specialty
• Pediatric Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.