NPIMap

Organization Active NPI

Wasatch View Eye and Laser Clinic LLC

  • Ophthalmology Physician
  • South Jordan, UT
National Provider Identifier
1801127634
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WASATCH VIEW EYE AND LASER CLINIC LLC
Practice address
922 Baxter Dr
110
South Jordan, UT 84095-8613
Phone
(801) 542-7024
NPI assigned
Jan 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Jeffery L Mellor, ODNPI 1518975226
Title
Member/Doctor
Phone
(801) 867-9382

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 328094-9934 UT
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

922 Baxter Dr
110
South Jordan, UT 84095-8613

Mailing address

922 Baxter Dr
110
South Jordan, UT 84095-8613
Phone (801) 542-7024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1801127634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 BAXTER DR",
            "address_2": "110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958613",
            "telephone_number": "801-542-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 BAXTER DR",
            "address_2": "110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958613",
            "telephone_number": "801-542-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH VIEW EYE AND LASER CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MELLOR",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER/DOCTOR",
        "authorized_official_telephone_number": "801-867-9382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "328094-9934",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.