Organization Active NPI

Castle Valley Eyecare PC

  • Optometrist
  • Castle Dale, UT
National Provider Identifier
1174551246
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
114028-9934 Issued in UT
Legal business name
CASTLE VALLEY EYECARE PC
Practice address
190 East Main
Castle Dale, UT 84513-0785
Phone
(435) 381-2040
NPI assigned
Jun 29, 2006
Last updated
Jun 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Steven Orland Tuttle, O.D.NPI 1912981036
Title
Doctor/Owner
Phone
(435) 381-2040

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
Optometrist 152W00000X 114028-9934 UT Primary

Addresses

Primary practice location

190 East Main
Castle Dale, UT 84513-0785

Mailing address

PO Box 785
Castle Dale, UT 84513-0785
Phone (435) 381-2040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040709000300 UT Part B Supplier - Clinic/Group Practice 9436137197 Receives reassigned benefits from 1 practitioner
Practice locations: Castle Dale, UT

National Provider Directory

National Provider Directory

Locations

69 E Main St
Price, UT 84501
Phone (435) 637-2000

Practitioners & affiliated clinicians

Practitioners 2

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1174551246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845130785",
            "telephone_number": "435-381-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 EAST MAIN",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845130785",
            "telephone_number": "435-381-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE VALLEY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ORLAND",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "435-381-2040",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "114028-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Dale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.