Organization Active NPI

Cottonwood Eye & Laser Clinic, P.C.

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1972565216
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COTTONWOOD EYE & LASER CLINIC, P.C.
Practice address
201 E 5900 S
Suite 101
Salt Lake City, UT 84107-7379
Phone
(801) 268-6600
Fax
(801) 268-6602
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Dr. Steven T. Jackson, M.D.
Title
Owner/Director
Phone
(801) 268-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

201 E 5900 S
Suite 101
Salt Lake City, UT 84107-7379

Mailing address

201 E 5900 S
Suite 101
Salt Lake City, UT 84107-7379
Phone (801) 268-6600

Other names 1

  • STEVEN T JACKSON MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

201 E 5900 S
Ste 101
Salt Lake Cty, UT 84107
Phone (801) 266-2020

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1972565216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 5900 S",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077379",
            "telephone_number": "801-268-6600",
            "fax_number": "801-268-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 5900 S",
            "address_2": "SUITE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077379",
            "telephone_number": "801-268-6600",
            "fax_number": "801-268-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD EYE & LASER CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "801-268-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEVEN T JACKSON MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 23, 2007; 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.