Organization Active NPI

Precision Vision PLLC

  • Optometrist
  • Spanish Fork, UT
National Provider Identifier
1326461807
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRECISION VISION PLLC
Practice address
482 S Main St
Spanish Fork, UT 84660-2410
Phone
(801) 504-6448
Fax
(801) 504-6239
NPI assigned
Feb 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Dr. Jess E Mendenhall, O.D.NPI 1225280423
Title
Member
Phone
(520) 678-6567

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 Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

482 S Main St
Spanish Fork, UT 84660-2410

Mailing address

482 S Main St
Spanish Fork, UT 84660-2410
Phone (801) 504-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140408001778 UT Part B Supplier - Clinic/Group Practice 5092947929 Receives reassigned benefits from 1 practitioner
Practice locations: Spanish Fork, UT
O20150304000259 UT DME Supplier - Physician - Optometrist 5092947929 Practice locations: Spanish Fork, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Precision Vision482 S Main St, Spanish Fork, UT 84660-2410(801) 504-6448 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 8, 2014

National Provider Directory

National Provider Directory

Locations

482 S Main St
Spanish Fork, UT 84660
Phone (801) 504-6448

482 S Main St
Ste 101
Spanish Fork, UT 84660

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": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1326461807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602410",
            "telephone_number": "801-504-6448",
            "fax_number": "801-504-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602410",
            "telephone_number": "801-504-6448",
            "fax_number": "801-504-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "MENDENHALL",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-678-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.