Northern Utah Eye Center

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

6962612-1205 Issued in UT

Legal business name

NORTHERN UTAH EYE CENTER

Practice address

550 E 1400 N Ste T
Logan, UT 84341-2407

Phone

(435) 752-2020

Fax

(435) 752-5475

NPI assigned

Nov 17, 2010

Organization subpart

Yes

Parent organization

NORTHERN UTAH EYE CENTERAs reported in NPPES

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

Authorized official

Name

Dr. Christian D Nilson, M.D.NPI 1932321460

Title

Owner

Phone

(435) 752-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The Optical Shoppe Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Christian D Nilson MD PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian D Nilson, MD PC

  • Ophthalmology Physician
  • Logan, UT
  • NPI 1932321460
  NPD Authorized official

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1225330673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N STE T",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412407",
            "telephone_number": "435-752-2020",
            "fax_number": "435-752-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 1400 N STE T",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412407",
            "telephone_number": "435-752-2020",
            "fax_number": "435-752-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN UTAH EYE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN UTAH EYE CENTER",
        "enumeration_date": "2010-11-17",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "NILSON",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-752-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8127835-9934",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "UT",
            "license": "6962612-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932321460",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optical Shoppe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nolan a. White, D.C., P.C.
• Barry A Noorda, MD
• Cheryl Norr
• North Logan PDC PLLC
• Northern Utah Endoscopy Center
• Northern Utah Gastroenterology and Endoscopy Specialists LLC
• Northern Utah Pathology PC
• Northern Utah Surgery Center, LLC
• Northern Utah Surgicenter, LLC
• Northern Valley Family Medicine

• Eyewear Supplier in Logan, UT
• Providers in Logan, UT by specialty
• Eyewear Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.