Avalon Oculoplastics PC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

8062924-1205 Issued in UT

Legal business name

AVALON OCULOPLASTICS PC

Practice address

78 E 900 N
Spanish Fork, UT 84660-1232

Phone

(801) 794-4964

Fax

(801) 798-8298

NPI assigned

Dec 21, 2011

Last updated

Dec 21, 2011By 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

Conley Call, MDNPI 1073594818

Title

Physician/Owner

Phone

(801) 794-4964

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Conley Ben Call, MD

  • Ophthalmology Physician
  • Spanish Fork, UT
  • NPI 1073594818
  NPD Authorized official

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1659640548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 E 900 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601232",
            "telephone_number": "801-794-4964",
            "fax_number": "801-798-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 E 900 N",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601232",
            "telephone_number": "801-794-4964",
            "fax_number": "801-798-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON OCULOPLASTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "CALL",
        "authorized_official_first_name": "CONLEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "801-794-4964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "UT",
            "license": "8062924-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Ashworth
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• Chelsea Atkinson, RDN
• Richard Milo Atwood, D.D.S
• Atwood, Strong, & Associates, PLLC (South Valley Dental Care)
• McKayla C Baadsgaard
• Back on Track Family Chiropractic, LLC
• David Albert Baggaley, D.C.
• Nicolas Baird
• David R Baker, LMT

• Ophthalmologic Surgery Clinic/Center in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Ophthalmologic Surgery Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.