Organization Active NPI

Myeyes LLC

  • Durable Medical Equipment & Medical Supplies
  • Park City, UT
National Provider Identifier
1770246456
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MYEYES LLC
Practice address
1901 Prospector Ave Ste 29
Park City, UT 84060-7320
Phone
(888) 959-5563
Fax
(435) 292-1099
NPI assigned
Oct 19, 2021
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Chris Epperson, OMT,ESS-SMNPI 1275372781
Title
Director of Operations
Phone
(888) 959-5563

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1901 Prospector Ave Ste 29
Park City, UT 84060-7320

Mailing address

361 N Mill Rd
Heber City, UT 84032-3128
Phone (888) 959-5563

Other identifiers 3

IdentifierTypeStateIssuer
136880OtherUTHEBER CITY BUSINESS LICENSE
12332955-1714OtherUTUTAH STATE PHARM CLASS E, DME LICENSE
12287858-0161OtherUTUTAH DEPARTMENT OF COMMERCE, DIVISION OF CORPORATIONS AND COMMERCIAL CODE

National Provider Directory

National Provider Directory
Tax ID family
Myeyes LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1901 Prospector Ave
Ste 29
Park City, UT 84060
Phone (888) 959-5563

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1770246456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N MILL RD",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323128",
            "telephone_number": "888-959-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PROSPECTOR AVE STE 29",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607320",
            "telephone_number": "888-959-5563",
            "fax_number": "435-292-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "EPPERSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "888-959-5563",
        "authorized_official_credential": "OMT,ESS-SM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEBER CITY BUSINESS LICENSE",
            "identifier": "136880",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH STATE PHARM CLASS E, DME LICENSE",
            "identifier": "12332955-1714",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DEPARTMENT OF COMMERCE, DIVISION OF CORPORATIONS AND COMMERCIAL CODE",
            "identifier": "12287858-0161",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.