Baltazar Vega, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6779772-9934 Issued in UT

Practice address

560 S State St Ste A265
Orem, UT 84058

Phone

(801) 820-0920

NPI assigned

Oct 10, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vega Vision

  • Optometrist
  • Orem, UT
  • NPI 1164997185
  NPD (past) Authorized official
• Standard Optical Co

  • Optometrist
  • Tooele, UT
  • NPI 1477654846
  NPD (past)

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1730431065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S STATE ST STE A265",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586391",
            "telephone_number": "801-820-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 S STATE ST STE A265",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84058",
            "telephone_number": "801-820-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 S University Ave",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846015943",
            "country_code": "US",
            "telephone_number": "971-217-9763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "BALTAZAR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "6779772-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Rose Vandorn
• Jennifer Vargas
• Shelyn Vargas
• Erin Elizabeth Vasquez, LCSW, RPT
• Vega Vision
• George F Veit, DDS
• Soledad Vera
• Tristen Vera
• Adriana Vergara
• Elayna May Vergara

• Optometrist in Orem, UT
• Providers in Orem, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; 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.