Organization Active NPI

American Fork Vision LLC

  • Optometrist
  • American Fork, UT
National Provider Identifier
1427873553
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMERICAN FORK VISION LLC
Practice address
24 W Main St
American Fork, UT 84003-2318
Phone
(801) 756-7996
Fax
(801) 756-1690
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Mr. Skyler Alger Paxman
Title
Owner
Phone
(801) 673-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

24 W Main St
American Fork, UT 84003-2318

Mailing address

24 W Main St
American Fork, UT 84003-2318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1427873553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 W MAIN ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 W MAIN ST",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032318",
            "telephone_number": "801-756-7996",
            "fax_number": "801-756-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FORK VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "PAXMAN",
        "authorized_official_first_name": "SKYLER",
        "authorized_official_middle_name": "ALGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-673-4090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.