Organization Active NPI

Mountain Valley Eye Institute PC

  • Ophthalmology Physician
  • Park City, UT
National Provider Identifier
1891796140
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MOUNTAIN VALLEY EYE INSTITUTE PC
Practice address
2700 Homestead Rd
Park City, UT 84098-4857
Phone
(435) 658-3090
Fax
(435) 658-3094
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John B Fassio, MD
Title
President
Phone
(435) 615-0435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2700 Homestead Rd
Park City, UT 84098-4857

Mailing address

2700 Homestead Rd
Park City, UT 84098-4857
Phone (435) 615-0435

National Provider Directory

National Provider Directory

Locations

1920 Prospector Ave
Park City, UT 84060
Phone (435) 649-5200

816 Klondyke St
Kemmerer, WY 83101
Phone (307) 875-3399

Practitioners & affiliated clinicians

Practitioners 1

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": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891796140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HOMESTEAD RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984857",
            "telephone_number": "435-615-0435",
            "fax_number": "435-658-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HOMESTEAD RD",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984857",
            "telephone_number": "435-658-3090",
            "fax_number": "435-658-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY EYE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FASSIO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-615-0435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.