WB Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

56014859934 Issued in UT

Legal business name

WB EYECARE LLC

Practice address

222 S Main St
Suite 110
Salt Lake City, UT 84101-2174

Phone

(801) 456-2020

Fax

(801) 456-2020

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stephen R Brockbank, O.D.

Title

Managing Member

Phone

(801) 803-2470

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1609129386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MAIN ST",
            "address_2": "SUITE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012174",
            "telephone_number": "801-456-2020",
            "fax_number": "801-456-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MAIN ST",
            "address_2": "SUITE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012174",
            "telephone_number": "801-456-2020",
            "fax_number": "801-456-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WB EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "BROCKBANK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-803-2470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "56014859934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Wayment Samuelson, PT
• Jana Wayment
• Rustie Chastina Wayne-Jones
• Lauren Wayne
• Seth S Wayne, ATC
• Amy Gallop Weagley, MD
• Jennifer P. Weakland, FNP
• Tobyn Wayne Weakley, BSN, RN
• Melissa Lynn Weakly
• Benjamin Wear, RBT

• Optometrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.