Eye Center of West Jordan, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CENTER OF WEST JORDAN, LLC

Practice address

8157 S 4800 W
West Jordan, UT 84088

Phone

(307) 761-1516

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Nathan WilhelmNPI 1518349125

Title

Member

Phone

(307) 761-1516

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nathan Wilhelm, O.D.

  • Optometrist
  • Pleasant View, UT
  • NPI 1518349125
  NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1225755671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8163 S OVERTON DR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8157 S 4800 W",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "307-761-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OF WEST JORDAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "307-761-1516"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andie Evans
• April Evans, PHARMD
• Lauren Evans, RN
• Maelyn Evans
• Evergreen Clinic LLC
• Aleina Eyre, SUDC
• Cory J Fabrizio, DMD
• Fairbanks Family Dental
• Cassandra Fairclough, MSW, CSW
• David Duffin Falck, CMHC

• Optometrist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.