Organization Active NPI

Apple Contact Lens Center Inc.

  • Optometrist
  • South Jordan, UT
National Provider Identifier
1730210683
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
921111919934 Issued in UT
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

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Paul GellerNPI 1659456671
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
381487205023MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Apple Contact Lens Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.