Organization Active NPI

Hidden Valley Eyecare and Framed Optical, PLLC

Doing business as Hidden Valley Eye Care and Framed Optical

  • Optometrist
  • Draper, UT
National Provider Identifier
1184126963
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10650496-9934 Issued in UT
Legal business name
HIDDEN VALLEY EYECARE AND FRAMED OPTICAL, PLLC
Doing business as
Hidden Valley Eye Care and Framed Optical
Practice address
1147 E Draper Pkwy
Draper, UT 84020-9096
Phone
(801) 916-9555
NPI assigned
Mar 7, 2018
Last updated
Mar 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Jason Mackay, ODNPI 1821525965
Title
Optometrist
Phone
(714) 334-1664

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 10650496-9934 UT Primary

Addresses

Primary practice location

1147 E Draper Pkwy
Draper, UT 84020-9096

Mailing address

1147 E Draper Pkwy
Draper, UT 84020-9096
Phone (801) 916-9555

Other names 1

  • Hidden Valley Eye Care and Framed Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180320001767 UT Part B Supplier - Clinic/Group Practice 2860754405 Receives reassigned benefits from 1 practitioner
Practice locations: Draper, UT

National Provider Directory

National Provider Directory

Locations

1147 E Draper Pkwy
Draper, UT 84020
Phone (714) 334-1664

Practitioners & affiliated clinicians

Practitioners 3

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": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1184126963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 E DRAPER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209096",
            "telephone_number": "801-916-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 E DRAPER PKWY",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209096",
            "telephone_number": "801-916-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN VALLEY EYECARE AND FRAMED OPTICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "MACKAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "714-334-1664",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10650496-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidden Valley Eye Care and Framed Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.