NPIMap

Organization Active NPI

Advanced Family Vision Center, Inc.

  • Optometrist
  • Cedar City, UT
National Provider Identifier
1629309448
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED FAMILY VISION CENTER, INC.
Practice address
1760 N Main St
Suite 103
Cedar City, UT 84721-7775
Phone
(435) 867-0644
Fax
(435) 867-0645
NPI assigned
Jan 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Mrs. Mindy Smith
Title
President
Phone
(435) 867-0644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1760 N Main St
Suite 103
Cedar City, UT 84721-7775

Mailing address

1760 N Main St
Suite 103
Cedar City, UT 84721-7775
Phone (435) 867-0644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1629309448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 N MAIN ST",
            "address_2": "SUITE 103",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217775",
            "telephone_number": "435-867-0644",
            "fax_number": "435-867-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 N MAIN ST",
            "address_2": "SUITE 103",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217775",
            "telephone_number": "435-867-0644",
            "fax_number": "435-867-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-867-0644",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.