Advantage Eye Care , P. C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ADVANTAGE EYE CARE , P. C.

Doing business as

Advantage Eye Care

Practice address

538 S State St
Orem, UT 84058-6367

Phone

(801) 373-1711

Fax

(801) 373-1741

NPI assigned

Oct 26, 2006

Last updated

Aug 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James M. Abraham, O. D.NPI 1063597342

Title

President

Phone

(801) 373-1711

Specialties & licenses 1

Addresses

Other names 1

• Advantage Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Advantage Eye Care , P. C.

  dba Advantage Eye Care

  • Clinic/Center
  • Midvale, UT
  • NPI 1932284130

  O20031121000245

  Same enrollment

Locations

Practitioners 2

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.

• James M. Abraham, O. D.

  • Optometrist
  • Murray, UT
  • NPI 1063597342
  NPD Authorized official
• Jess Eric Mendenhall, O.D.

  • Optometrist
  • Spanish Fork, UT
  • NPI 1225280423
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1891870002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586367",
            "telephone_number": "801-373-1711",
            "fax_number": "801-373-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 S STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586367",
            "telephone_number": "801-373-1711",
            "fax_number": "801-373-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE EYE CARE , P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-373-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dorothy Ah Quin, MAED, CMHC
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• Jaylene Ahlmann

• Clinic/Center in Orem, UT
• Providers in Orem, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.