Organization Active NPI

Avec Eye Center LLC

  • Ophthalmology Physician
  • Sandy, UT
National Provider Identifier
1851478606
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
325931-1205 Issued in UT
Legal business name
AVEC EYE CENTER LLC
Practice address
8789 S Highland Drive
Suite 100
Sandy, UT 84093-1602
Phone
(801) 943-4999
Fax
(801) 943-3876
NPI assigned
Nov 1, 2006
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Stella Yi Chou, MD PHDNPI 1649450628
Title
Owner
Phone
(801) 501-0035

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
Ophthalmology Physician 207W00000X 325931-1205 UT Primary

Addresses

Primary practice location

8789 S Highland Drive
Suite 100
Sandy, UT 84093-1602

Mailing address

PO Box 95970
South Jordan, UT 84095-0970
Phone (801) 352-9500

Other identifiers 2

IdentifierTypeStateIssuer
1851478606MedicaidUT
D2940OtherUTMEDICAID LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080128000094 UT Part B Supplier - Clinic/Group Practice 5193807394 Receives reassigned benefits from 1 practitioner
Practice locations: Sandy, UT

National Provider Directory

National Provider Directory

Locations

8789 S Highland Dr
Ste 100
Sandy, UT 84093
Phone (801) 501-0035

Practitioners & affiliated clinicians

Practitioners 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1851478606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8789 S HIGHLAND DRIVE",
            "address_2": "SUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931602",
            "telephone_number": "801-943-4999",
            "fax_number": "801-943-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEC EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "YI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-501-0035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "325931-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851478606",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LICENSE NUMBER",
            "identifier": "D2940",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.