Vision Care 20/20 of Nevada Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

8908 Issued in UT

Legal business name

VISION CARE 20/20 OF NEVADA INC

Practice address

1550 N Main
North Logan, UT 84341

Phone

(435) 753-3906

Fax

(435) 753-3918

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Albert Bruce Boyer, OD

Title

Ceo President

Phone

(435) 753-3906

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457338709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-753-3906",
            "fax_number": "435-753-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "84341",
            "telephone_number": "435-753-3906",
            "fax_number": "435-753-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE 20/20 OF NEVADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "435-753-3906",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1126549934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8908",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "0233",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8428",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "1302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Team Recovery
• Brady Michael Thomson, DDS
• Ian Michael Troesoyer, FNP-C
• University of Utah Cache Valley Emergency Medicine
• Valley Obstetrics and Gynecology, PC
• Visionhealth Eyecare PLLC
• Jennifer Day Walker, MA, MMFT, LMFT
• Jeanne M Wallace, PHD
• Walmart Inc.
• Abigail Weaver

• Optometrist in North Logan, UT
• Providers in North Logan, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.