Organization Active NPI

Eye Pros of Orem

  • Optometrist
  • Orem, UT
National Provider Identifier
1508340944
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE PROS OF OREM
Practice address
366 E. University Parkway
Orem, UT 84058
Phone
(208) 297-7019
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Laurel E George
Title
Accounts Manager
Phone
(208) 501-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

366 E. University Parkway
Orem, UT 84058

Mailing address

3485 N Cole Rd Unit 45479
Boise, ID 83711-1095
Phone (208) 297-7019

Other names 1

  • Eye Pros Doing business as

National Provider Directory

National Provider Directory

Locations

364 E University Pkwy
Orem, UT 84058

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1508340944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 N COLE RD UNIT 45479",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837111095",
            "telephone_number": "208-297-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 E. UNIVERSITY PARKWAY",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84058",
            "telephone_number": "208-297-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PROS OF OREM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "208-501-8222"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Pros",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Pros",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.