NPIMap

Organization Active NPI

Wendover Eye Care, Inc

  • Optometrist
  • Wendover, UT
National Provider Identifier
1447340799
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
62579469934 Issued in UT
Legal business name
WENDOVER EYE CARE, INC
Practice address
479 E Wendover Blvd
Wendover, UT 84083
Phone
(435) 665-7923
Fax
(435) 665-7923
NPI assigned
Oct 14, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Scott M Allen, ODNPI 1255442885
Title
Officer
Phone
(435) 665-7923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 62579469934 UT Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1138799934 UT

Addresses

Primary practice location

479 E Wendover Blvd
Wendover, UT 84083

Mailing address

307 N 300 W
Suite 302
Kaysville, UT 84037-1852
Phone (435) 665-7923

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447340799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N 300 W",
            "address_2": "SUITE 302",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371852",
            "telephone_number": "435-665-7923",
            "fax_number": "435-665-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 E WENDOVER BLVD",
            "city": "WENDOVER",
            "state": "UT",
            "postal_code": "84083",
            "telephone_number": "435-665-7923",
            "fax_number": "435-665-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDOVER EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "435-665-7923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "62579469934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1138799934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendover, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.