NPIMap

Organization Active NPI

Dale F. Hardy, O.D. PC

Doing business as Vision Source-South Valley Eyecare

  • Optometrist
  • South Jordan, UT
National Provider Identifier
1356422695
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DALE F. HARDY, O.D. PC
Doing business as
Vision Source-South Valley Eyecare
Practice address
10372 S Redwood Rd
South Jordan, UT 84095-9339
Phone
(801) 253-1374
Fax
(801) 253-1672
NPI assigned
Oct 17, 2006
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Dale F. Hardy, O.D.NPI 1356343487
Title
President
Phone
(801) 253-1374

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 NU Primary

Addresses

Primary practice location

10372 S Redwood Rd
South Jordan, UT 84095-9339

Mailing address

PO Box 95110
South Jordan, UT 84095-0110
Phone (801) 253-1374

Other names 1

  • Vision Source-South Valley Eyecare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1356422695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950110",
            "telephone_number": "801-253-1374",
            "fax_number": "801-253-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10372 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959339",
            "telephone_number": "801-253-1374",
            "fax_number": "801-253-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE F. HARDY, O.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-253-1374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source-South Valley Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 12, 2009; 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.