Advantage Eye Care , P. C. – Clinic/Center

Key facts

NPI: 1891870002
Entity type: Organization (NPI type 2)
Primary specialty: Clinic/Center 261Q00000X
Legal business name: ADVANTAGE EYE CARE , P. C.
Practice address: 538 S State St
Orem, UT 84058-6367
Phone: (801) 373-1711
Fax: (801) 373-1741
NPI assigned: Oct 26, 2006
Organization subpart: No

Authorized official

Name: Dr. James M. Abraham, O. D.
Title: President
Phone: (801) 373-1711

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. Clinic/Center · Midvale, UT · NPI 1932284130

Same enrollment O20031121000245

Practitioners 2

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

James M. Abraham, O. D. Optometrist · Murray, UT · NPI 1063597342

NPD
Jess Eric Mendenhall, O.D. Optometrist · Spanish Fork, UT · NPI 1225280423

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in UT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20031121000245	UT	Part B Supplier - Clinic/Group Practice	8628972619	Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Midvale, UT; Orem, UT

National Provider Directory

Locations

7677 S Maple St
Midvale, UT 84047
Phone (801) 288-0882

4877 S State St
Murray, UT 84107
Phone (801) 288-0882

394 E University Pkwy
Orem, UT 84058
Phone (801) 373-1711

538 S State St
Orem, UT 84058
Phone (801) 373-1711

4995 S Atwood Blvd
Salt Lake City, UT 84107
Phone (801) 288-0882

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinic/Center	261Q00000X		UT	Yes

Addresses

Primary practice location

538 S State St
Orem, UT 84058-6367

Mailing address

538 S State St
Orem, UT 84058-6367
Phone (801) 373-1711

Other names

Advantage Eye Care Doing business as

Other providers in Orem, UT

All providers in Orem, UT · Clinic/Center in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.