Jeffrey Paul Tipton, O.D.
Individual provider Active NPI Optometrist · Layton, UT
NPI 1366443079 · NPPES record last updated Mar 6, 2014
Key facts
- NPI
- 1366443079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 348415-9934 (UT)
- Practice address
- 1055 W Hillfield Rd
Layton, UT 84041-4614 - Phone
- (801) 444-7160
- NPI assigned
- Aug 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear River Vision, PC | Optometrist | Past | Accepting new patients |
| Bear River Vision, LLC | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 348415-9934 | UT | Yes |
Addresses
Primary practice location
1055 W Hillfield Rd
Layton, UT 84041-4614
Mailing address
3162 W 1100 N
West Point, UT 84015-7571
Phone (801) 444-7160
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.