The Eye Institute of Utah

Primary specialty

OptometristTaxonomy code 152W00000X

License

205-13 Issued in WY

Legal business name

THE EYE INSTITUTE OF UTAH

Practice address

2631 Foothill Blvd
Suite a
Rock Springs, WY 82901-4771

Phone

(307) 362-4202

Fax

(307) 362-4332

NPI assigned

Jan 4, 2008

Last updated

Jan 4, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

THE EYE INSTITUTE OF UTAHAs reported in NPPES

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

Authorized official

Name

Kevin H Merkley, M.D.

Title

Vice President

Phone

(801) 266-2283

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

W Andrew Lyle MD

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.

• Sean Patrick Cushman, OD

  • Optometrist
  • Salt Lake City, UT
  • NPI 1023686474
  NPD

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1184809535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072105",
            "telephone_number": "801-266-2283",
            "fax_number": "801-268-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014771",
            "telephone_number": "307-362-4202",
            "fax_number": "307-362-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE INSTITUTE OF UTAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EYE INSTITUTE OF UTAH",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "MERKLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "801-266-2283",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "205-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108096203",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatum-Mere Health and Community Serv Inc. (Southwest Pain Management)
• Tatum-Mere Health and Community Services Inc. (Southwest Pain Management)
• Margaret Rose Taylor
• Ryan C. Taylor, DDS
• Terry Donaldson MD, PC. (Donaldson Medical Clinic)
• Thomas E Spicer, MD-PC (Thomas E Spicer MD)
• Thomas E. Spicer, MD, PC
• Shaun Connor Thomas, M.S
• Jerusha Dove Thompson, PPC
• Fergus Thornton, M.D.

• Optometrist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.