Organization Active NPI

Wasatch View Eye Care L L C

  • Optometrist
  • South Jordan, UT
National Provider Identifier
1285927129
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
328094-9934 Issued in UT
Legal business name
WASATCH VIEW EYE CARE L L C
Practice address
10412 S 2200 W
South Jordan, UT 84095-8333
Phone
(801) 858-2020
Fax
(801) 610-2138
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Jeffery Lovell Mellor, ODNPI 1518975226
Title
Owner
Phone
(801) 858-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 328094-9934 UT Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 328094-9934 UT

Addresses

Primary practice location

10412 S 2200 W
South Jordan, UT 84095-8333

Mailing address

10412 S 2200 W
South Jordan, UT 84095-8333
Phone (801) 858-2020

Other practice location 1

2135 W Main St Ste B101
Lehi, UT 84043-6936
Phone (801) 858-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140422000023 UT Part B Supplier - Clinic/Group Practice 5991937294 Receives reassigned benefits from 1 practitioner
Practice locations: Lehi, UT; South Jordan, UT

National Provider Directory

National Provider Directory

Locations

2135 W Main St
Ste B101
Lehi, UT 84043
Phone (801) 858-2020

10412 S 2200 W
South Jordan, UT 84095
Phone (801) 858-2020

1218 W South Jordan Pkwy
Ste A
South Jordan, UT 84095
Phone (801) 302-0301

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": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1285927129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 S 2200 W",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958333",
            "telephone_number": "801-858-2020",
            "fax_number": "801-610-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 S 2200 W",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958333",
            "telephone_number": "801-858-2020",
            "fax_number": "801-610-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 W Main St Ste B101",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840436936",
            "country_code": "US",
            "telephone_number": "801-858-2020",
            "fax_number": "801-610-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASATCH VIEW EYE CARE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "MELLOR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "LOVELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-858-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "328094-9934",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "UT",
            "license": "328094-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.