Organization Active NPI

Reese and Weaver, Ods LLC

Doing business as Alpine Vision Center

  • Optometrist
  • Saratoga Springs, UT
National Provider Identifier
1851468953
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
328345--9934 Issued in UT
Legal business name
REESE AND WEAVER, ODS LLC
Doing business as
Alpine Vision Center
Practice address
76 E Commerce Dr
Suite 102
Saratoga Springs, UT 84045
Phone
(801) 768-1900
Fax
(801) 768-1904
NPI assigned
Nov 30, 2006
Last updated
Mar 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Steven J Weaver, ODNPI 1487630588
Title
Owner Optometrist
Phone
(801) 768-1900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 328345--9934 UT Primary

Addresses

Primary practice location

76 E Commerce Dr
Suite 102
Saratoga Springs, UT 84045

Mailing address

37 E Commerce Dr
Suite 102
Saratoga Springs, UT 84045
Phone (801) 768-1900

Other identifiers 1

IdentifierTypeStateIssuer
1851468953MedicaidUT

Other names 1

  • Alpine Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051215000306 UT Part B Supplier - Clinic/Group Practice 8426079690 Receives reassigned benefits from 5 practitioners
Practice locations: Lehi, UT; Saratoga Springs, UT

National Provider Directory

National Provider Directory
Tax ID family
Alpine Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3435 N Center St
#1
Lehi, UT 84043
Phone (801) 756-7150

1307 N Commerce Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 768-1900

1528 N Commerce Dr
Ste 102
Saratoga Springs, UT 84045
Phone (801) 768-1900

37 E Commerce Dr
Ste 102
Saratoga Springs, UT 84045

Practitioners & affiliated clinicians

Practitioners 5

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1851468953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 E COMMERCE DR",
            "address_2": "SUITE 102",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-768-1900",
            "fax_number": "801-768-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E COMMERCE DR",
            "address_2": "SUITE 102",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "84045",
            "telephone_number": "801-768-1900",
            "fax_number": "801-768-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESE AND WEAVER, ODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "801-768-1900",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "328345--9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851468953",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saratoga Springs, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.