Organization Active NPI

Harlin Optometry, PLLC

  • Optometrist
  • St George, UT
National Provider Identifier
1174797229
Registry record updated Apr 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
59480409934 Issued in UT
Legal business name
HARLIN OPTOMETRY, PLLC
Practice address
2610 Pioneer Rd
St George, UT 84790-7442
Phone
(435) 674-9770
Fax
(435) 674-9771
NPI assigned
Apr 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2008

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

Authorized official

Name
Dr. Dustin Deric Harlin, O.D.
Title
Optometrist
Phone
(801) 623-3723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 59480409934 UT Primary

Addresses

Primary practice location

2610 Pioneer Rd
St George, UT 84790-7442

Mailing address

4410 S 3080 E
Salt Lake City, UT 84124-3714
Phone (801) 556-7194

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208563200000",
    "number": "1174797229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 S 3080 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243714",
            "telephone_number": "801-556-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 PIONEER RD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907442",
            "telephone_number": "435-674-9770",
            "fax_number": "435-674-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLIN OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-19",
        "last_updated": "2008-04-19",
        "status": "A",
        "authorized_official_last_name": "HARLIN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "DERIC",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-623-3723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "59480409934",
            "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 Apr 19, 2008; 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.