Vineyard Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VINEYARD EYE CARE LLC

Practice address

691 E 400 N Ste 220
Vineyard, UT 84059-7510

Phone

(801) 717-5655

NPI assigned

Dec 1, 2023

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daxton Aaron Hawks, OD, MBANPI 1821663675

Title

Optometrist

Phone

(801) 717-5655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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.

• Daxton Aaron Hawks, OD, MBA

  • Optometrist
  • Riverton, UT
  • NPI 1821663675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1760258552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 E 400 N STE 220",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840597510",
            "telephone_number": "801-754-6955",
            "fax_number": "801-436-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E 400 N STE 220",
            "city": "VINEYARD",
            "state": "UT",
            "postal_code": "840597510",
            "telephone_number": "801-717-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINEYARD EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "HAWKS",
        "authorized_official_first_name": "DAXTON",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-717-5655",
        "authorized_official_credential": "OD, MBA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner Donald Sugrue, PA-C
• Heather Taylor, PTA
• Emily Rebecca Tew, RD
• Susana Vega, APRN
• Vineyard Counseling, LLC
• Vineyard Heights Dental LLC
• Vineyard Oral and Maxillofacial Surgery
• Vineyard Surgery Center, LLC (Vineyard Medical Group)
• Vineyard Surgery Center, LLC
• Rebecca Ann Waite, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.