Eye Clinic & Contact Lens Center of Utah Valley PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

109118-9934 Issued in UT

Legal business name

EYE CLINIC & CONTACT LENS CENTER OF UTAH VALLEY PC

Practice address

2230 N University Pkwy Ste 10a
Cottontree Square
Provo, UT 84604-1594

Phone

(801) 373-4550

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roland Kay Monson, O.D.

Title

Optometrist

Phone

(801) 373-4550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Clinic & Contact Lens Center of Utah Valley PC

  • Optometrist
  • Provo, UT
  • NPI 1336336080

  O20050912000352

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Timothy Smith, OD

  • Optometrist
  • Provo, UT
  • NPI 1053848572
  Medicare reassignment Care Compare group NPD
• Todd J Lewis, OD

  • Optometrist
  • Provo, UT
  • NPI 1801856976
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1831405919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY STE 10A",
            "address_2": "COTTONTREE SQUARE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041594",
            "telephone_number": "801-373-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N UNIVERSITY PKWY STE 10A",
            "address_2": "COTTONTREE SQUARE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041594",
            "telephone_number": "801-373-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CLINIC & CONTACT LENS CENTER OF UTAH VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "18013734550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "109118-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Delafield Evans, MD
• Tamara Jean Ewan, NURSE PRACTITIONER
• Excel Cosmetic Surgery Center
• Expanding Autistic Borders LLC
• Eye Clinic & Contact Lens Center of Utah Valley PC
• Aleea Eyre
• Janalee Eyre
• Preston Lamar Eyre, LCSW
• Erica Siala Faasee
• Daniel Rey Faber, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.