Hurricane Valley Eye Care PC
Organization Active NPI Optometrist · Hurricane, UT
NPI 1770754145 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1770754145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 5343436-9934 (UT)
- Legal business name
- HURRICANE VALLEY EYE CARE PC
- Practice address
- 20 S 850 W
Suite 3
Hurricane, UT 84737-3214 - Phone
- (435) 635-7766
- Fax
- (435) 635-9128
- NPI assigned
- Mar 13, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael C Dorius, O.D.
- Title
- Optometrist
- Phone
- (435) 635-7766
Practitioners 7
-
Michael C. Dorius, O.D.
-
Todd Albrecht, O.D.
-
Kent S Albrecht, O.D.
-
Russell M Miller, O.D.
-
Robert Lynn Simmons, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hurricane Valley Eye Care |
Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040917000385 | UT | Part B Supplier - Clinic/Group Practice | 7517935687 |
Receives reassigned benefits from 4 practitioners Practice locations: Hurricane, UT |
| O20100930022221 | UT | DME Supplier - Physician - Optometrist | 7517935687 | Practice locations: Hurricane, UT |
National Provider Directory
Locations
20 S 850 W
Ste 2
Hurricane, UT 84737
20 S 850 W
Ste 3
Hurricane, UT 84737
Phone (435) 635-7766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 5343436-9934 | UT | Yes |
Addresses
Primary practice location
20 S 850 W
Suite 3
Hurricane, UT 84737-3214
Mailing address
20 S 850 W
Suite 3
Hurricane, UT 84737-3214
Phone (435) 635-7766
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 519962929003 | Medicaid | UT |
Other providers in Hurricane, UT
- Hurricane Family Pharmacy Inc
- Hurricane Family Practice, PC
- Hurricane Pediatric Dentistry
- Hurricane Valley Counseling Center
- Hurricane Valley Counseling Center, L.L.C.
- Hurricane Valley Fire Special Services District
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Indiemed LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.