Organization Active NPI

Apple Contact Lens Center Inc.

  • Preferred Provider Organization
  • Taylorsville, UT
National Provider Identifier
1447397658
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
921111919934 Issued in UT
Legal business name
APPLE CONTACT LENS CENTER INC.
Practice address
2282 W 5400 S
Taylorsville, UT 84118-1744
Phone
(801) 963-2773
Fax
(801) 963-2692
NPI assigned
Jan 30, 2007
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Mr. Paul D Geller, O.D.NPI 1659456671
Title
Owner
Phone
(801) 963-2773

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
Preferred Provider Organization 305R00000X 921111919934 UT Primary

Addresses

Primary practice location

2282 W 5400 S
Taylorsville, UT 84118-1744

Mailing address

2282 W 5400 S
Taylorsville, UT 84118-1744
Phone (801) 963-2773

Other identifiers 2

IdentifierTypeStateIssuer
381487205037MedicaidUT
1144395203OtherUTDOCTOR'S NPI

Other names 1

  • Apple Vision Other name

National Provider Directory

National Provider Directory
Tax ID family
Apple Contact Lens Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2282 W 5400 S
Taylorsville, UT 84129
Phone (801) 963-2773

Practitioners & affiliated clinicians

Practitioners 1

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1447397658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841181744",
            "telephone_number": "801-963-2773",
            "fax_number": "801-963-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 W 5400 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841181744",
            "telephone_number": "801-963-2773",
            "fax_number": "801-963-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE CONTACT LENS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-24",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-963-2773",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "UT",
            "license": "921111919934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381487205037",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR'S NPI",
            "identifier": "1144395203",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Vision",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Apple Vision",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.