Organization Active NPI

Heritage Vision, LLC

  • Optometrist
  • Murray, UT
National Provider Identifier
1376772251
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56755659934 Issued in UT
Legal business name
HERITAGE VISION, LLC
Practice address
6191 S State St
Murray, UT 84107-7258
Phone
(801) 268-0937
Fax
(801) 281-4281
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Dr. Chad H Campbell, O.D.
Title
Optometrist
Phone
(801) 282-4826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 56755659934 UT Primary

Addresses

Primary practice location

6191 S State St
Murray, UT 84107-7258

Mailing address

3651 New Heritage Cir
West Jordan, UT 84088-5076
Phone (801) 282-4826

National Provider Directory

National Provider Directory

Locations

7453 S Plaza Center Dr
West Jordan, UT 84084
Phone (801) 282-1261

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1376772251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 NEW HERITAGE CIR",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885076",
            "telephone_number": "801-282-4826",
            "fax_number": "801-281-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 S STATE ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077258",
            "telephone_number": "801-268-0937",
            "fax_number": "801-281-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-282-4826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "56755659934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.