Organization Active NPI

Mind 1St USA LLC

  • Optician
  • Ogden, UT
National Provider Identifier
1376971853
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
MIND 1ST USA LLC
Practice address
2507 Madison Ave
Ogden, UT 84401-2500
Phone
(801) 803-6434
Fax
(801) 807-8003
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Juan Andres ValenzuelaNPI 1508292046
Title
Owner
Phone
(801) 803-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

2507 Madison Ave
Ogden, UT 84401-2500

Mailing address

2507 Madison Ave
Ogden, UT 84401-2500
Phone (801) 803-6434

Other names 1

  • Ogden Eye Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1376971853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 MADISON AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012500",
            "telephone_number": "801-803-6434",
            "fax_number": "801-807-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 MADISON AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012500",
            "telephone_number": "801-803-6434",
            "fax_number": "801-807-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND 1ST USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-803-6434"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ogden Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.