Total Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5267304-9934 Issued in UT

Legal business name

TOTAL VISION CARE, LLC

Doing business as

Valley View Vision

Practice address

4019 W 12600 S
Suite 110
Riverton, UT 84096-7401

Phone

(801) 302-9482

Fax

(801) 302-5532

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Elise Mondragon

Title

Office Manager

Phone

(801) 302-9482

Specialties & licenses 1

Addresses

Other names 1

• Valley View Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Graham

  • Corneal and Contact Management Optometrist
  • Riverton, UT
  • NPI 1801989868
  Medicare reassignment NPD
• Christopher Thomas Snow, O.D.

  • Optometrist
  • Sandy, UT
  • NPI 1336589712
  Medicare reassignment NPD
• Stephen Brockbank, O.D.

  • Optometrist
  • Salt Lake City, UT
  • NPI 1508973397
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1649460668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4019 W 12600 S",
            "address_2": "SUITE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967401",
            "telephone_number": "801-302-9482",
            "fax_number": "801-302-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4019 W 12600 S",
            "address_2": "SUITE 110",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840967401",
            "telephone_number": "801-302-9482",
            "fax_number": "801-302-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "MONDRAGON",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-302-9482"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5267304-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley View Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simon Rodney Timms, LPC
• Jamie Todd, MA SLP-CCC
• Aaron David Tonga
• Elizabeth Harriet Toone
• Yvette Toribio Ataque
• Gary Tremayne, O.D.
• Rebecca Triplett
• Kyle M Turner, PA-C
• Tricia Anne Twelves, M.D.
• Jason Tye, DNP, APRN, FNP-C

• Optometrist in Riverton, UT
• Providers in Riverton, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.