NPIMap

Organization Active NPI

East Millcreek Eyewear

  • Optician
  • Salt Lake City, UT
National Provider Identifier
1760612139
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
19242 Issued in UT
Legal business name
EAST MILLCREEK EYEWEAR
Practice address
3203 S 2300 E
Salt Lake City, UT 84109-2703
Phone
(801) 485-5820
Fax
(801) 485-5830
NPI assigned
Jul 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Jodie Ann McAllister, OPTICIANNPI 1457537458
Title
Owner
Phone
(801) 485-5820

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 19242 UT Primary

Addresses

Primary practice location

3203 S 2300 E
Salt Lake City, UT 84109-2703

Mailing address

3203 S 2300 E
Salt Lake City, UT 84109-2703
Phone (801) 485-5820

National Provider Directory

National Provider Directory

Locations

3203 S 2300 E
Salt Lake City, UT 84109
Phone (801) 485-5820

Practitioners & affiliated clinicians

Practitioners 2

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": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1760612139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 S 2300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092703",
            "telephone_number": "801-485-5820",
            "fax_number": "801-485-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 S 2300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092703",
            "telephone_number": "801-485-5820",
            "fax_number": "801-485-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MILLCREEK EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-485-5820",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "UT",
            "license": "19242",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 20, 2009; 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.