Jamestown Eye Care Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAMESTOWN EYE CARE CENTER LLC

Doing business as

Vision Institute of Utah

Practice address

3651 N 100 E Ste 250
Provo, UT 84604-4518

Phone

(801) 373-3337

NPI assigned

Dec 6, 2007

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Anthony Plothow, O.D.NPI 1235110149

Title

Doctor

Phone

(801) 373-3337

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Vision Institute of Utah Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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.

• Phillip Anthony Plothow, OD

  • Optometrist
  • Provo, UT
  • NPI 1235110149
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1245413772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 N 100 E STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044518",
            "telephone_number": "801-373-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 N 100 E STE 250",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044518",
            "telephone_number": "801-373-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN EYE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "PLOTHOW",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-373-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "5201910001",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529179327002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Institute of Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian E James, AU.D.
• Jacob Mark James, DO
• Richard James, DMD
• Tyler Jon James, PT
• Rosetta Jameson, RPH
• John Jamison
• Heather Janis
• David Jaramillo
• Joshua Jaramillo, MD
• Todd Joseph Jaramillo, DPM

• Optometrist in Provo, UT
• Providers in Provo, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.