Vista Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISTA EYE CARE INC

Practice address

307 N 300 W
Suite 302
Kaysville, UT 84037-1852

Phone

(801) 444-9977

Fax

(801) 444-2610

NPI assigned

Feb 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Alan Brant Gummow, O.D.NPI 1558550913

Title

Owner

Phone

(801) 444-9977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

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

• Alan Brant Gummow, O.D.

  • Optometrist
  • Kaysville, UT
  • NPI 1558550913
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1275958159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N 300 W",
            "address_2": "SUITE 302",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371852",
            "telephone_number": "801-444-9977",
            "fax_number": "801-444-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N 300 W",
            "address_2": "SUITE 302",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371852",
            "telephone_number": "801-444-9977",
            "fax_number": "801-444-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "GUMMOW",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "BRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-444-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kaysville, UT
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.