Active NPI
Utah Valley Eye Center Inc
- Eyewear Supplier
- Provo, UT
National Provider Identifier
1376832071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- UTAH VALLEY EYE CENTER INC
- Practice address
- 1055 N 300 W Ste 204
Provo, UT 84604-3374 - Phone
- (801) 357-7777
- Fax
- (801) 357-7217
- NPI assigned
- Apr 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Clayton
- Title
- Administrator
- Phone
- (801) 357-7373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | UT | Primary |
Addresses
Primary practice location
1055 N 300 W Ste 204
Provo, UT 84604-3374
Mailing address
1055 N 300 W Ste 204
Provo, UT 84604-3374
Phone (801) 357-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110822000121 | UT | DME Supplier - Physician - Optometrist | 7810167392 | Practice locations: Provo, UT |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Utah Valley Eye Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Provo, UT
- NPI 1902195605
Interoperability endpoints
- https://app.meldrx.com/api/fhir/mplus_utahvalleyeye
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301875200000",
"number": "1376832071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 300 W STE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "846043374",
"telephone_number": "801-357-7777",
"fax_number": "801-357-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 300 W STE 204",
"city": "PROVO",
"state": "UT",
"postal_code": "846043374",
"telephone_number": "801-357-7777",
"fax_number": "801-357-7217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UTAH VALLEY EYE CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "801-357-7373",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
- Utah State Hospital Pharmacy
- Utah Surgical Arts
- Utah Surgical Associates, Inc.
- Utah Valley Clinical Evaluation Physicians LC
- Utah Valley Emergency Physicians Inc
- Utah Valley Eye Center Inc
- Utah Valley Family Medicine Residency
- Utah Valley Natural Health Clinic
- Utah Valley Obstetrical Ultra Sound
- Utah Valley Pediatrics L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.