Mt Ogden Eye Center LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MT OGDEN EYE CENTER LLC

Doing business as

Utah Eye Centers

Practice address

1025 E 3300 S
Salt Lake City, UT 84106-2849

Phone

(801) 221-2020

Fax

(801) 487-3689

NPI assigned

Nov 27, 2023

Last updated

Nov 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy Smith

Title

Ceo

Phone

(801) 476-0494

Specialties & licenses 1

Addresses

Other names 1

• Utah Eye Centers Doing business as

Tax ID family

Mt Ogden Eye Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mt Ogden Eye Center LLC

  dba Utah Eye Centers

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1700927043
  NPD tax ID

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1649046269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "address_2": "ATTN CREDENTIALING",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062849",
            "telephone_number": "801-221-2020",
            "fax_number": "801-487-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT OGDEN EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-476-0494"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Eye Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson Nicole Moznett
• Kiese Mpongo, MD
• Mr Health, Inc. (Align Utah)
• Smriti Mridha
• MSK Enterprise LLC (Mountain West Hearing Center)
• Mt Olympus Anesthesia
• Mt. Olympus Clinic of Chiropractic Corporation
• Mt. Olympus Obstetrics and Gynecology
• Heidi Mathie Mucha, PH.D
• Aruni Sharmaine Ayanthi Mudalige, APRN

• Eyewear Supplier in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Eyewear Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.