Vision Care 20/20, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

112654-9934 Issued in UT

Legal business name

VISION CARE 20/20, PC

Practice address

110 East 100 South
Saint George, UT 84770

Phone

(702) 481-1074

NPI assigned

Feb 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Albert Bruce Boyer, OD

Title

Ceo

Phone

(702) 481-1074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1245690643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EAST 100 SOUTH",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "702-481-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST 100 SOUTH",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "702-481-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE 20/20, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-481-1074",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "112654-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Saint George, UT
• Providers in Saint George, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.