Organization Active NPI

Eye Clinic & Contact Lens Center of Utah Valley PC

Doing business as Eye Clinic & Aesthetics of Provo

  • Optometrist
  • Provo, UT
National Provider Identifier
1336336080
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
109118-9934 Issued in UT
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Todd J LewisNPI 1801856976
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
519502484001MedicaidUT

Other names 2

  • Eye Clinic & Aesthetics of Provo Doing business as
  • Eye Clinic and Aesthetics of Provo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.