Organization Active NPI

Family Focused Eyecare LLC

  • Optometrist
  • Herriman, UT
National Provider Identifier
1558593145
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
73866879934 Issued in UT
Legal business name
FAMILY FOCUSED EYECARE LLC
Practice address
5528 W 13400 S
Herriman, UT 84096-6919
Phone
(801) 302-3080
Fax
(801) 302-8008
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Paul Hulet, O.D.NPI 1568690568
Title
Owner
Phone
(801) 885-6236

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 73866879934 UT Primary

Addresses

Primary practice location

5528 W 13400 S
Herriman, UT 84096-6919

Mailing address

13446 Firefly LN
Apt. #205
Riverton, UT 84096-7226
Phone (801) 302-3080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091014000197 UT Part B Supplier - Clinic/Group Practice 3577609031 Receives reassigned benefits from 3 practitioners
Practice locations: Herriman, UT

National Provider Directory

National Provider Directory

Locations

5528 W 13400 S
Herriman, UT 84096
Phone (801) 302-3080

5532 W Herriman Main St
Ste 120
Herriman, UT 84096
Phone (801) 302-3080

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1558593145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13446 FIREFLY LN",
            "address_2": "APT. #205",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967226",
            "telephone_number": "801-302-3080",
            "fax_number": "801-302-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 W 13400 S",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840966919",
            "telephone_number": "801-302-3080",
            "fax_number": "801-302-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUSED EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "HULET",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-885-6236",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "73866879934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herriman, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.