Bear River Eye Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

111108-9934 Issued in UT

Legal business name

BEAR RIVER EYE CENTER, INC

Practice address

495 W 600 N
Tremonton, UT 84337-2411

Phone

(435) 257-7436

NPI assigned

Nov 15, 2007

Last updated

Jun 8, 2021By 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

Phillip Lynn Purcell, ODNPI 1356653513

Title

President

Phone

(435) 257-7436

Specialties & licenses 1

Addresses

Other names 1

• Lynn R. Purcell, O.D., Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://bearrivereye.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners 3

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 Lynn Purcell, O.D.

  • Optometrist
  • Tremonton, UT
  • NPI 1356653513
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey David Zilles, OD

  • Optometrist
  • Tremonton, UT
  • NPI 1508423252
  Medicare reassignment Care Compare group NPD
• Lynn Rex Purcell, O.D.

  • Optometrist
  • Tremonton, UT
  • NPI 1013910397
  Medicare reassignment NPD

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1275714412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843370155",
            "telephone_number": "435-257-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W 600 N",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843372411",
            "telephone_number": "435-257-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR RIVER EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "PURCELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-257-7436",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "111108-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn R. Purcell, O.D., Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lynn R. Purcell, O.D., Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samantha Elise Allen, CNIM
• Hayden Anderson, DPT
• Jay Douglas Argyle, CRNA
• Auralcare Hearing Centers of America, LLC (My Hearing Centers)
• Back at Work of Utah LLC
• Bear River Hearing Center LLC
• Bear River Valley Care Center
• Bear River Valley Medical LLC
• Makayla Rene Bening
• David E Bitner, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.