Organization Active NPI

Mountain View Eye Center Professional Corporation

  • Ophthalmology Physician
  • Layton, UT
National Provider Identifier
1841386745
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION
Practice address
1580 W Antelope Dr Ste 175
Layton, UT 84041-1175
Phone
(801) 773-2233
Fax
(801) 773-2375
NPI assigned
Oct 5, 2006
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Ansley Allen
Title
Office Manager
Phone
(801) 773-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X UT Primary

Addresses

Primary practice location

1580 W Antelope Dr Ste 175
Layton, UT 84041-1175

Mailing address

1580 W Antelope Dr Ste 175
Layton, UT 84041-1175
Phone (801) 773-2233

Other identifiers 1

IdentifierTypeStateIssuer
U000055284OtherUTMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050910000066 UT Part B Supplier - Clinic/Group Practice 7315979382 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Layton, UT; South Ogden, UT

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

5685 S 1475 E
Ste A1
South Ogden, UT 84403
Phone (801) 475-8000

Practitioners & affiliated clinicians

Practitioners 6

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1841386745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR STE 175",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411175",
            "telephone_number": "801-773-2233",
            "fax_number": "801-773-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR STE 175",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411175",
            "telephone_number": "801-773-2233",
            "fax_number": "801-773-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANSLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-773-2233"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U000055284",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.