Organization Active NPI

Eyemazing

  • Internal Medicine Physician
  • Kaysville, UT
National Provider Identifier
1265220065
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EYEMAZING
Practice address
335 N 300 W Ste 101
Kaysville, UT 84037-1815
Phone
(801) 643-4277
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Kyle Fusselman, DONPI 1831571363
Title
Medical Director
Phone
(304) 992-4511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

335 N 300 W Ste 101
Kaysville, UT 84037-1815

Mailing address

3824 Thurston Dr
Morgan, UT 84050-9906
Phone (304) 992-4511

Other names 1

  • True Beauty Forever Doing business as

National Provider Directory

National Provider Directory

Locations

335 N 300 W
Ste 101
Kaysville, UT 84037
Phone (801) 643-4277

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1265220065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 THURSTON DR",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840509906",
            "telephone_number": "304-992-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N 300 W STE 101",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371815",
            "telephone_number": "801-643-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMAZING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "FUSSELMAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "304-992-4511",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Beauty Forever",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaysville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.