Organization Active NPI

Felsted PC

Doing business as Vision Rx of Alaska

  • Ophthalmology Physician
  • Draper, UT
National Provider Identifier
1215640149
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FELSTED PC
Doing business as
Vision Rx of Alaska
Practice address
261 W Data Dr
Draper, UT 84020-2372
Phone
(800) 411-5694
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Kellen Fowler
Title
VP, RX Renewal LLC
Phone
(800) 411-5694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

261 W Data Dr
Draper, UT 84020-2372

Mailing address

261 W Data Dr
Draper, UT 84020-2372
Phone (800) 411-5694

Other names 1

  • Vision Rx of Alaska Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1215640149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W DATA DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202372",
            "telephone_number": "800-411-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W DATA DR",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202372",
            "telephone_number": "800-411-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELSTED PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KELLEN",
        "authorized_official_title_or_position": "VP, RX RENEWAL LLC",
        "authorized_official_telephone_number": "800-411-5694"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Rx of Alaska",
            "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 Jan 5, 2023; 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.