Organization Active NPI

Jeff Simmons OD

Doing business as Copper View Eye Care

  • Optometrist
  • South Jordan, UT
National Provider Identifier
1235697632
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JEFF SIMMONS OD
Doing business as
Copper View Eye Care
Practice address
5474 W Daybreak Pkwy Ste G3
South Jordan, UT 84009-5909
Phone
(801) 923-3935
NPI assigned
Mar 5, 2019
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Jeff Simmons, OD
Title
Owner/Optometrist
Phone
(801) 923-3935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5474 W Daybreak Pkwy Ste G3
South Jordan, UT 84009-5909

Mailing address

5474 W Daybreak Pkwy Ste G3
South Jordan, UT 84009-5909
Phone (801) 923-3935

Other names 1

  • Copper View Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230829001385 UT Part B Supplier - Clinic/Group Practice 0042673758 Receives reassigned benefits from 1 practitioner
Practice locations: South Jordan, UT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2334045Copper View Eye Care5474 West Daybreak Parkway, South Jordan, UT 84009Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory

Locations

5474 W Daybreak Pkwy
Ste G3
South Jordan, UT 84009
Phone (801) 923-3935

Practitioners & affiliated clinicians

Practitioners 1

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": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1235697632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5474 W DAYBREAK PKWY STE G3",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095909",
            "telephone_number": "801-923-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 W DAYBREAK PKWY STE G3",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095909",
            "telephone_number": "801-923-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF SIMMONS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "801-923-3935",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper View Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Copper View Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.