NPIMap

Organization Active NPI

Glaukom LLC

Doing business as Clarus Vision Clinic

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1518307909
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
73837368905 Issued in UT
Legal business name
GLAUKOM LLC
Doing business as
Clarus Vision Clinic
Practice address
6344 S 900 E
Salt Lake City, UT 84121-2439
Phone
(801) 892-8222
Fax
(801) 904-3436
NPI assigned
Jun 28, 2013
Last updated
Feb 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Gregory Christiansen, 8018928222NPI 1831175629
Title
Owner
Phone
(801) 892-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 73669439934 UT
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 73837368905 UT Primary

Addresses

Primary practice location

6344 S 900 E
Salt Lake City, UT 84121-2439

Mailing address

6344 S 900 E
Salt Lake City, UT 84121-2439
Phone (801) 892-8222

Other names 1

  • Clarus Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1518307909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212439",
            "telephone_number": "801-892-8222",
            "fax_number": "801-904-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212439",
            "telephone_number": "801-892-8222",
            "fax_number": "801-904-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUKOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTIANSEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-892-8222",
        "authorized_official_credential": "8018928222"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "73669439934",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "73837368905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarus Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.