Southeastern Utah Eye Clinic PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

60582630144 Issued in UT

Legal business name

SOUTHEASTERN UTAH EYE CLINIC PC

Practice address

54 E 100 N
Price, UT 84501

Phone

(435) 637-2414

Fax

(435) 637-8205

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judy Olson Saccomanno, ODNPI 1508993775

Title

President Stock Holder

Phone

(435) 637-2414

Specialties & licenses 1

Addresses

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

Practitioners 3

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.

• Judy Olson Saccomanno, OD

  • Optometrist
  • Price, UT
  • NPI 1508993775
  Medicare reassignment Care Compare group Authorized official
• Mason Geral Livingston, O.D.

  • Optometrist
  • Price, UT
  • NPI 1962841221
  Medicare reassignment Care Compare group NPD
• Cori Dawn Callahan, OD

  • Optometrist
  • Price, UT
  • NPI 1396872560
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1477736403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E 100 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2414",
            "fax_number": "435-637-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E 100 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2414",
            "fax_number": "435-637-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN UTAH EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SACCOMANNO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "OLSON",
        "authorized_official_title_or_position": "PRESIDENT STOCK HOLDER",
        "authorized_official_telephone_number": "435-637-2414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "60582630144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Utah Association of Local Governments
• Southeastern Utah District Health Department
• Southeastern Utah District Health Department
• Southeastern Utah District Health Department
• Southeastern Utah Emergency Physicians
• McKenzie Lynn Sowards, FNP/AGACNP-BC
• Gregory A Spence
• Julie T. Sprague, RN
• Anne Stacy, LCSW
• Hollie Marie Stapley, PA-C

• Optometrist in Price, UT
• Providers in Price, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.