Organization Active NPI

Stephen Lundquist, O.D., P.C.

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1952966152
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STEPHEN LUNDQUIST, O.D., P.C.
Practice address
801 S 800 E
Salt Lake City, UT 84102-3515
Phone
(801) 819-9084
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Dr. Stephen Nicholas Lundquist, OD
Title
President, Optometrist
Phone
(801) 410-4281

Specialties & licenses 1

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

Addresses

Primary practice location

801 S 800 E
Salt Lake City, UT 84102-3515

Mailing address

801 S 800 E
Salt Lake City, UT 84102-3515
Phone (801) 410-4281

Other names 1

  • Vis. Doing business as

National Provider Directory

National Provider Directory

Locations

801 S 800 E
Salt Lake City, UT 84102
Phone (801) 410-4281

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1952966152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S 800 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023515",
            "telephone_number": "801-410-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 800 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023515",
            "telephone_number": "801-819-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN LUNDQUIST, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT, OPTOMETRIST",
        "authorized_official_telephone_number": "801-410-4281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vis.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vis.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.