Organization Active NPI

Jordan Vision Clinic PC

  • Optometrist
  • West Jordan, UT
National Provider Identifier
1679615660
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1115039934 Issued in UT
Legal business name
JORDAN VISION CLINIC PC
Practice address
9237 Redwood Rd
BLDG 5a
West Jordan, UT 84088-5812
Phone
(801) 561-2020
Fax
(801) 255-3617
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Robert H. Meek, O.D.
Title
Partner
Phone
(801) 561-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1115039934 UT Primary

Addresses

Primary practice location

9237 Redwood Rd
BLDG 5a
West Jordan, UT 84088-5812

Mailing address

9237 Redwood Rd
BLDG 5a
West Jordan, UT 84088-5812
Phone (801) 561-2020

National Provider Directory

National Provider Directory

Locations

9237 S Redwood Rd
#5A
West Jordan, UT 84088
Phone (801) 561-2020

9237 S Redwood Rd
Bldg 5A
West Jordan, UT 84088
Phone (801) 561-2020

9237 S Redwood Rd
West Jordan, UT 84088
Phone (801) 561-2020

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1679615660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 REDWOOD RD",
            "address_2": "BLDG 5A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885812",
            "telephone_number": "801-561-2020",
            "fax_number": "801-255-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 REDWOOD RD",
            "address_2": "BLDG 5A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885812",
            "telephone_number": "801-561-2020",
            "fax_number": "801-255-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "MEEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-561-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1115039934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.