Eye Site of Farmington, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

375826-9934 Issued in UT

Legal business name

EYE SITE OF FARMINGTON, LLC

Practice address

57 N Main St
Farmington, UT 84025-3517

Phone

(801) 447-4393

Fax

(801) 447-8230

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Chelle Nickle, O.D.

Title

Optometrist/Owner

Phone

(801) 447-4393

Specialties & licenses 1

Addresses

Practitioners 1

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

• Scott Allen

  • Optometrist
  • Wendover, UT
  • NPI 1255442885
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1295057958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840250942",
            "telephone_number": "801-447-4393",
            "fax_number": "801-447-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N MAIN ST",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253517",
            "telephone_number": "801-447-4393",
            "fax_number": "801-447-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE OF FARMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "NICKLE",
        "authorized_official_first_name": "CHELLE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "801-447-4393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375826-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Davis England, APRN, AGACNP-BC, DNP
• Alexis Enright, RBT
• Jared Erickson, PA-C
• Bella Ericson, RBT06/11/2006
• Brooklyn Rae Evans
• Family Therapy Center of Utah, LLC
• Emma Diane Farmer, LCSW
• Farmington City Corp
• Farmington Derm LLC
• Farmington Family Medicine PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.