Active NPI
Juan Andres Valenzuela
- Optician
- Ogden, UT
National Provider Identifier
1508292046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 2507 Madison Ave
Ogden, UT 84401-2500 - Phone
- (801) 803-6434
- Fax
- (801) 807-0803
- NPI assigned
- Sep 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
2507 Madison Ave
Ogden, UT 84401-2500
Mailing address
2507 Madison Ave
Ogden, UT 84401-2500
Phone (801) 803-6434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind 1St USA LLC | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Ogden, UT
- NPI 1376971853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1508292046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 MADISON AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844012500",
"telephone_number": "801-803-6434",
"fax_number": "801-807-0803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 MADISON AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844012500",
"telephone_number": "801-803-6434",
"fax_number": "801-807-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "JUAN",
"middle_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-16",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.