NPIMap

Organization Active NPI

Salt Lake Eye Associates, LLC

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1699015214
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
177470-1205 Issued in UT
Legal business name
SALT LAKE EYE ASSOCIATES, LLC
Practice address
1025 E 3300 S
Suite B
Salt Lake City, UT 84106-4389
Phone
(801) 281-2020
Fax
(801) 487-3689
NPI assigned
Feb 19, 2013
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Rachel Sharon Benator, MDNPI 1053316976
Title
Owner
Phone
(801) 281-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 177470-1205 UT Primary

Addresses

Primary practice location

1025 E 3300 S
Suite B
Salt Lake City, UT 84106-4389

Mailing address

1025 E 3300 S
Suite B
Salt Lake City, UT 84106-4389
Phone (801) 281-2020

Other identifiers 3

IdentifierTypeStateIssuer
1518298678OtherUTNPI
1053316976OtherUTNPI
1093822561OtherUTNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1699015214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E 3300 S",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064389",
            "telephone_number": "801-281-2020",
            "fax_number": "801-487-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E 3300 S",
            "address_2": "SUITE B",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064389",
            "telephone_number": "801-281-2020",
            "fax_number": "801-487-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "BENATOR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-281-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "177470-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518298678",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053316976",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093822561",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.