Active NPI
Cache Valley Eye Associates, PLLC
- Ophthalmology Physician
- Logan, UT
National Provider Identifier
1558513895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CACHE VALLEY EYE ASSOCIATES, PLLC
- Practice address
- 1300 N 500 E
Suite 350
Logan, UT 84341-2408 - Phone
- (435) 752-7445
- Fax
- (435) 753-3059
- NPI assigned
- Oct 17, 2008
- Last updated
- Nov 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David G Waterman
- Title
- Vice President
- Phone
- (435) 752-7445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
1300 N 500 E
Suite 350
Logan, UT 84341-2408
Mailing address
1300 N 500 E Ste 350
Logan, UT 84341-2469
Phone (435) 752-7445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1300 N 500 E
Ste 350
Logan, UT 84341
Phone (435) 752-7445
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Ophthalmology Physician
- Logan, UT
- NPI 1689603284
-
- Optometrist
- Clinton, UT
- NPI 1497431076
-
- Optometrist
- Logan, UT
- NPI 1639256670
-
- Ophthalmology Physician
- Logan, UT
- NPI 1366820938
-
- Ophthalmology Physician
- Logan, UT
- NPI 1962497685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762905600000",
"number": "1558513895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 500 E STE 350",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412469",
"telephone_number": "435-752-7445",
"fax_number": "435-753-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 500 E",
"address_2": "SUITE 350",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412408",
"telephone_number": "435-752-7445",
"fax_number": "435-753-3059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CACHE VALLEY EYE ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-17",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A",
"authorized_official_last_name": "WATERMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "435-752-7445"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
- Cache Valley Cancer Treatment &Research Clinic PC
- Cache Valley Cardiology PC
- Cache Valley Center for Couples and Families
- Cache Valley Dental Associates LLC
- Cache Valley Eye Associates, Inc.
- Cache Valley Medical and Wellness
- Cache Valley Midwifery Group (Cache Valley Birth Center)
- Cache Valley Oral & Facial Surgery, Inc.
- Cache Valley Oxygen Inc
- Cache Valley Pathology, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.