NPIMap

Organization Active NPI

Corporate Concierge

  • Optometrist
  • Lehi, UT
National Provider Identifier
1962961086
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CORPORATE CONCIERGE
Practice address
4415 N Deer Ridge Trail
Lehi, UT 84043
Phone
(517) 667-8933
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Aaron Lyle King, ODNPI 1790210011
Title
Doctor/Partner
Phone
(517) 667-8933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4415 N Deer Ridge Trail
Lehi, UT 84043

Mailing address

2150 W Aspen Wood Loop
Lehi, UT 84043-4040
Phone (517) 667-8933

Other identifiers 1

IdentifierTypeStateIssuer
1790210011MedicaidUT

National Provider Directory

National Provider Directory

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": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1962961086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W ASPEN WOOD LOOP",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434040",
            "telephone_number": "517-667-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 N DEER RIDGE TRAIL",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "517-667-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE CONCIERGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "DOCTOR/PARTNER",
        "authorized_official_telephone_number": "517-667-8933",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790210011",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.