Active NPI
Mountain View Eye Center Professional Corporation
- Ophthalmology Physician
- Layton, UT
National Provider Identifier
1841386745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U000055284 | Other | UT | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Family Vision Care
- Optometrist
- South Ogden, UT
- NPI 1407060072
O20050910000066
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Layton, UT
- NPI 1437129681
-
- Optometrist
- Ogden, UT
- NPI 1306393889
-
- Ophthalmology Physician
- Layton, UT
- NPI 1982834834
-
- Optometrist
- Midvale, UT
- NPI 1841783693
-
- Optometrist
- Ogden, UT
- NPI 1750351441
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.