Active NPI
Eye Care for You LLC
- Optometrist
- Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1109189934
- Legal business name
- EYE CARE FOR YOU LLC
- Practice address
- 1300 N 200 E Ste 104
Logan, UT 84341-2460 - Phone
- (435) 752-6453
- Fax
- (435) 752-6486
- NPI assigned
- Dec 9, 2008
- 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
- Dr. Philip G Cromwell, OD
- Title
- President
- Phone
- (435) 752-6453
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1109189934 | UT | Primary |
Addresses
Primary practice location
1300 N 200 E Ste 104
Logan, UT 84341-2460
Mailing address
1300 N 200 E Ste 104
Logan, UT 84341-2460
Phone (435) 752-6453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090218000055 | UT | Part B Supplier - Clinic/Group Practice | 1951466481 |
Receives reassigned benefits from 4 practitioners Practice locations: Logan, UT |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Eye Care for You LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Preston, ID
- NPI 1548405327
Locations
43 E 400 N
Logan, UT 84321
Phone (435) 752-6453
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Ogden, UT
- NPI 1578269767
-
- Optometrist
- Logan, UT
- NPI 1801902333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664928000000",
"number": "1619112398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 200 E STE 104",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412460",
"telephone_number": "435-752-6453",
"fax_number": "435-752-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 200 E STE 104",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412460",
"telephone_number": "435-752-6453",
"fax_number": "435-752-6486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE FOR YOU LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-09",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "CROMWELL",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "435-752-6453",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "UT",
"license": "1109189934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.