Mount Ogden Eye Center

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

7143320-1205 Issued in UT

Legal business name

MOUNT OGDEN EYE CENTER

Practice address

520 Medical Dr
Ste 201
Bountiful, UT 84010-4968

Phone

(801) 292-8878

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Michelle Apadaca

Title

Supervisor

Phone

(801) 529-2483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Mt Ogden Eye Center LLC

  dba Utah Eye Centers

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1700927043

  O20040602001630

  Same enrollment
• Mt Ogden Eye Center LLC

  dba Utah Eye Centers

  • Ophthalmology Physician
  • Bountiful, UT
  • NPI 1740431428

  O20040602001630

  Same enrollment

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1841421914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1529",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840416529",
            "telephone_number": "801-593-9223",
            "fax_number": "801-593-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "address_2": "STE 201",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104968",
            "telephone_number": "801-292-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OGDEN EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "APADACA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "801-529-2483"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "UT",
            "license": "7143320-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Morales
• Shamira Morgan
• Deanna Morse
• Jazmin Moss
• Megan Moss, DPT
• Mountain Medical Systems
• Mountain Orthopaedics LLC
• Mountain Region Hospice & Homecare, LLC
• Mountain Region Hospice & Homecare, LLC
• Mountain View Foot and Ankle Specialists Inc

• Ophthalmologic Surgery Clinic/Center in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Ophthalmologic Surgery Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.