NPIMap

Organization Active NPI

Eye Prosthetics of Utah, Inc.

  • Prosthetic/Orthotic Supplier
  • Midvale, UT
National Provider Identifier
1366475154
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
57403940142 Issued in UT
Legal business name
EYE PROSTHETICS OF UTAH, INC.
Practice address
7400 Union Park Ave
Suite 102
Midvale, UT 84047-6705
Phone
(801) 942-1600
Fax
(801) 942-1717
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Mr. Richard Thomas Caruso, OCULARIST, BCO, BADO
Title
President/Ocularist
Phone
(801) 942-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 57403940142 UT Primary

Addresses

Primary practice location

7400 Union Park Ave
Suite 102
Midvale, UT 84047-6705

Mailing address

7400 Union Park Ave
Suite 102
Midvale, UT 84047-6704
Phone (801) 942-1600

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1366475154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE",
            "address_2": "SUITE 102",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476704",
            "telephone_number": "801-942-1600",
            "fax_number": "801-942-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 UNION PARK AVE",
            "address_2": "SUITE 102",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476705",
            "telephone_number": "801-942-1600",
            "fax_number": "801-942-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PROSTHETICS OF UTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OCULARIST",
        "authorized_official_telephone_number": "801-942-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OCULARIST, BCO, BADO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "UT",
            "license": "57403940142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.