NPIMap

Organization Active NPI

Southern Utah Eye Physicians

  • Specialist
  • Saint George, UT
National Provider Identifier
1447432158
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1880291205 Issued in UT
Legal business name
SOUTHERN UTAH EYE PHYSICIANS
Practice address
1791 E 280 N
Saint George, UT 84790-2400
Phone
(435) 656-2020
Fax
(435) 673-4131
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. David B Cohen, MD
Title
Medical Director
Phone
(435) 656-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1880291205 UT Primary

Addresses

Primary practice location

1791 E 280 N
Saint George, UT 84790-2400

Mailing address

1791 E 280 N
Saint George, UT 84790-2400
Phone (435) 656-2020

Other identifiers 2

IdentifierTypeStateIssuer
639146817057MedicaidUT
071588111011MedicaidUT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1447432158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 E 280 N",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902400",
            "telephone_number": "435-656-2020",
            "fax_number": "435-673-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 E 280 N",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902400",
            "telephone_number": "435-656-2020",
            "fax_number": "435-673-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UTAH EYE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "435-656-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "1880291205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639146817057",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071588111011",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.