Active NPI
Apple Contact Lens Center Inc.
- Optometrist
- South Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 921111919934
- Legal business name
- APPLE CONTACT LENS CENTER INC.
- Practice address
- 10498 S Redwood Rd
South Jordan, UT 84095-8501 - Phone
- (801) 302-0800
- Fax
- (801) 302-0885
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Geller
- Title
- Owner
- Phone
- (801) 302-0800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 921111919934 | UT | Primary |
Addresses
Primary practice location
10498 S Redwood Rd
South Jordan, UT 84095-8501
Mailing address
10498 S Redwood Rd
South Jordan, UT 84095-8501
Phone (801) 302-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381487205023 | Medicaid | UT |
National Provider Directory
National Provider Directory- Tax ID family
- Apple Contact Lens Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Sandy, UT
- NPI 1144395203
-
- Preferred Provider Organization
- Taylorsville, UT
- NPI 1447397658
Locations
10498 S Redwood Rd
South Jordan, UT 84095
Phone (801) 302-0800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Taylorsville, UT
- NPI 1659456671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1730210683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10498 S REDWOOD RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958501",
"telephone_number": "801-302-0800",
"fax_number": "801-302-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10498 S REDWOOD RD",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840958501",
"telephone_number": "801-302-0800",
"fax_number": "801-302-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLE CONTACT LENS CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-09",
"last_updated": "2023-03-24",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "GELLER",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-302-0800"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "UT",
"license": "921111919934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381487205023",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.