NPIMap

Organization Active NPI

Eye Physicians of Utah

  • Optometrist
  • Orem, UT
National Provider Identifier
1184917502
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
70608539934 Issued in UT
Legal business name
EYE PHYSICIANS OF UTAH
Practice address
845 N 100 W
Suite 110
Orem, UT 84057-3195
Phone
(801) 889-8420
NPI assigned
May 18, 2011
Last updated
May 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Boyd Kelly Gubler, O.D.NPI 1568627305
Title
Member
Phone
(801) 889-8420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 70608539934 UT Primary

Addresses

Primary practice location

845 N 100 W
Suite 110
Orem, UT 84057-3195

Mailing address

313 N 650 E
Orem, UT 84097-4905
Phone (801) 889-8420

National Provider Directory

National Provider Directory

Locations

845 N 100 W
Ste 110
Orem, UT 84057
Phone (801) 889-8420

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": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1184917502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N 650 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974905",
            "telephone_number": "801-889-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N 100 W",
            "address_2": "SUITE 110",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573195",
            "telephone_number": "801-889-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "GUBLER",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-889-8420",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "70608539934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.