Active NPI
J. Ray Wirts, O.D.
- Optometrist
- Murray, UT
National Provider Identifier
1225141120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 109220-9934
- Practice address
- 192 E 4500 S
Murray, UT 84107-2628 - Phone
- (801) 261-2020
- Fax
- (801) 261-2052
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 109220-9934 | UT | Primary |
Addresses
Primary practice location
192 E 4500 S
Murray, UT 84107-2628
Mailing address
192 E 4500 S
Murray, UT 84107-2628
Phone (801) 261-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225141120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 E 4500 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841072628",
"telephone_number": "801-261-2020",
"fax_number": "801-261-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 E 4500 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841072628",
"telephone_number": "801-261-2020",
"fax_number": "801-261-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRTS",
"first_name": "J.",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "109220-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.