NPIMap

Organization Active NPI

Vision Health Center, Inc.

Doing business as Vision Source at Jordan Landing

  • Optometrist
  • West Jordan, UT
National Provider Identifier
1558487975
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
108971-9934 Issued in UT
Legal business name
VISION HEALTH CENTER, INC.
Doing business as
Vision Source at Jordan Landing
Practice address
7555 Center View CT
Suite 101
West Jordan, UT 84084-1970
Phone
(801) 566-5683
Fax
(801) 255-8371
NPI assigned
Mar 21, 2007
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Corie Deaun Sorensen, CPO, CPOC
Title
Billing Manager
Phone
(801) 566-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 108971-9934 UT Primary

Addresses

Primary practice location

7555 Center View CT
Suite 101
West Jordan, UT 84084-1970

Mailing address

7555 S Center View CT Ste 101
West Jordan, UT 84084-1970
Phone (801) 566-5683

Other identifiers 1

IdentifierTypeStateIssuer
303540236001MedicaidUT

Other names 1

  • Vision Source at Jordan Landing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000310 UT Part B Supplier - Clinic/Group Practice 5294800611 Receives reassigned benefits from 6 practitioners
Practice locations: West Jordan, UT; South Jordan, UT; Murray, UT; Park City, UT

National Provider Directory

National Provider Directory
Tax ID family
Vision Health Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1558487975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 S CENTER VIEW CT STE 101",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841970",
            "telephone_number": "801-566-5683",
            "fax_number": "801-255-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 CENTER VIEW CT",
            "address_2": "SUITE 101",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841970",
            "telephone_number": "801-566-5683",
            "fax_number": "801-255-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "CORIE",
        "authorized_official_middle_name": "DEAUN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-566-5683",
        "authorized_official_credential": "CPO, CPOC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "108971-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303540236001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source at Jordan Landing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.