Organization Active NPI

Kow Holdings LLC

  • Eyewear Supplier
  • Murray, UT
National Provider Identifier
1619653789
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KOW HOLDINGS LLC
Practice address
228 E 6400 S
Murray, UT 84107-7305
Phone
(801) 263-9125
NPI assigned
Jun 23, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Riley Risto
Title
Managing Member
Phone
(435) 305-9014

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

228 E 6400 S
Murray, UT 84107-7305

Mailing address

345 W 600 S Ste 118
Heber City, UT 84032-2283
Phone (435) 305-9014

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240603000390 UT Part B Supplier - Clinic/Group Practice 7214479534 Receives reassigned benefits from 2 practitioners
Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Locations

345 W 600 S
Ste 118
Heber City, UT 84032

228 E Winchester St
Salt Lake City, UT 84107
Phone (801) 263-9125

Practitioners & affiliated clinicians

Practitioners 2

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": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1619653789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 118",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322283",
            "telephone_number": "435-305-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E 6400 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077305",
            "telephone_number": "801-263-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOW HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "RISTO",
        "authorized_official_first_name": "RILEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "435-305-9014"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.