Country Hills Eye Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

169112-1205 Issued in UT

Legal business name

COUNTRY HILLS EYE CENTER

Practice address

1483 E Ridgeline Dr Ste 100
South Ogden, UT 84405-4977

Phone

(801) 399-1149

Fax

(801) 399-0248

NPI assigned

May 22, 2007

Organization subpart

Yes

Parent organization

COUNTRY HILLS EYE CENTERAs reported in NPPES

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

Authorized official

Name

Mandelin Borce

Title

Credentialing

Phone

(801) 399-0209

Specialties & licenses 3

Addresses

Other names 1

• True Vision Physicians and Surgeons Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Scott C Richards MD

Locations

Interoperability endpoints

• Direct secure messaging: jrupp@chec.intellechartdirect.net
• Direct secure messaging: jking@chec.intellechartdirect.net
• Direct secure messaging: jswift@chec.intellechartdirect.net
• Direct secure messaging: bdastrup@chec.intellechartdirect.net
• Direct secure messaging: jlever@chec.intellechartdirect.net
• Direct secure messaging: jchurch@chec.intellechartdirect.net

Practitioners 10

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

• Jeremiah V Church, O.D.

  • Optometrist
  • Ogden, UT
  • NPI 1083962245

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Benjamin T Dastrup, MD

  • Ophthalmology Physician
  • South Ogden, UT
  • NPI 1073797809
  Medicare reassignment Care Compare group NPD
• Jonathan Andrew King, OD

  • Optometrist
  • South Ogden, UT
  • NPI 1033789763
  Medicare reassignment Care Compare group NPD
• Jason D Rupp, MD

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1164797270
  Medicare reassignment Care Compare group NPD
• Jesse Scott Swift, M.D.

  • Ophthalmology Physician
  • South Ogden, UT
  • NPI 1235491994
  Medicare reassignment Care Compare group NPD
• Jackson Lever, MD

  • Ophthalmology Physician
  • South Ogden, UT
  • NPI 1831329309
  Medicare reassignment Care Compare group
• Brice Jason Williams, M.D., PH.D.

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1154574390
  Medicare reassignment Care Compare group
• Dale Thompson, O.D.

  • Optometrist
  • Layton, UT
  • NPI 1700848892
  NPD (past)
• Robert Randall Jones Jr., MD

  • Ophthalmology Physician
  • Chubbuck, ID
  • NPI 1912015330
  NPD (past)
• Scott C Richards, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Fort Wayne, IN
  • NPI 1447232806
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1447460464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 E RIDGELINE DR STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054947",
            "telephone_number": "801-399-1149",
            "fax_number": "801-394-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 E RIDGELINE DR STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054977",
            "telephone_number": "801-399-1149",
            "fax_number": "801-399-0248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Country Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844032200",
            "country_code": "US",
            "telephone_number": "801-399-1149",
            "fax_number": "801-394-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5991 S 3500 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Roy",
            "state": "UT",
            "postal_code": "840676702",
            "country_code": "US",
            "telephone_number": "801-399-1149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTRY HILLS EYE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTRY HILLS EYE CENTER",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "BORCE",
        "authorized_official_first_name": "MANDELIN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "801-399-0209"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "169112-1205",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "175314-1205",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "182590-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "True Vision Physicians and Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassidy Copeland
• Jenna Cornelius, RBT
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Mark V Cowley, DDS
• Sasha Renee Cress
• Abigail Crowther, RBT
• Brian R Cunningham, PMHNP-BC
• Lindsay Shepard Curtis, DDS

• Specialist in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.