Active NPI
Eye Clinic & Contact Lens Center of Utah Valley PC
Doing business as Eye Clinic & Aesthetics of Provo
- Optometrist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 109118-9934
- Legal business name
- EYE CLINIC & CONTACT LENS CENTER OF UTAH VALLEY PC
- Doing business as
- Eye Clinic & Aesthetics of Provo
Eye Clinic and Aesthetics of Provo - Practice address
- 2230 N University Pkwy Ste 10a
Provo, UT 84604-1594 - Phone
- (801) 373-4550
- NPI assigned
- Sep 26, 2007
- Last updated
- Feb 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd J Lewis
- Title
- Owner
- Phone
- (801) 373-4550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 109118-9934 | UT | Primary |
Addresses
Primary practice location
2230 N University Pkwy Ste 10a
Provo, UT 84604-1594
Mailing address
2230 N University Pkwy Ste 10a
Provo, UT 84604-1594
Phone (801) 373-4550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 519502484001 | Medicaid | UT |
Other names 2
- Eye Clinic & Aesthetics of Provo
- Eye Clinic and Aesthetics of Provo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050912000352 | UT | Part B Supplier - Clinic/Group Practice | 3476586405 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Provo, UT |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Optometrist
- Provo, UT
- NPI 1831405919
O20050912000352
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Optometrist
- Provo, UT
- NPI 1801856976
-
- Optometrist
- Provo, UT
- NPI 1053848572
-
- Corneal and Contact Management Optometrist
- Provo, UT
- NPI 1811952799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1336336080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 N UNIVERSITY PKWY STE 10A",
"city": "PROVO",
"state": "UT",
"postal_code": "846041594",
"telephone_number": "801-373-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 N UNIVERSITY PKWY STE 10A",
"city": "PROVO",
"state": "UT",
"postal_code": "846041594",
"telephone_number": "801-373-4550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CLINIC & CONTACT LENS CENTER OF UTAH VALLEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-373-4550"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "109118-9934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "519502484001",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Clinic & Aesthetics of Provo",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eye Clinic and Aesthetics of Provo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.