NPIMap

Organization Active NPI

Complete Eye Care

  • Optometrist
  • Orem, UT
National Provider Identifier
1871950444
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
87068789934 Issued in UT
Legal business name
COMPLETE EYE CARE
Practice address
742 N 530 E
Orem, UT 84097-4104
Phone
(801) 224-4799
Fax
(801) 434-4051
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Lyndsie Campbell
Title
Manager
Phone
(801) 224-4799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 87068789934 UT Primary

Addresses

Primary practice location

742 N 530 E
Orem, UT 84097-4104

Mailing address

742 N 530 E
Orem, UT 84097-4104
Phone (801) 369-3975

Other names 1

  • Orem Eye Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160309000333 UT Part B Supplier - Clinic/Group Practice 1456657006 Receives reassigned benefits from 3 practitioners
Practice locations: Orem, UT

National Provider Directory

National Provider Directory

Locations

742 N 530 E
Orem, UT 84097
Phone (801) 224-4799

209 N State St
Orem, UT 84057
Phone (801) 224-4799

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1871950444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N 530 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974104",
            "telephone_number": "801-369-3975",
            "fax_number": "801-434-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 N 530 E",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974104",
            "telephone_number": "801-224-4799",
            "fax_number": "801-434-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LYNDSIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-224-4799"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "87068789934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orem Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orem Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.