Active NPI
W Reed Jaussi MD PC
- Ophthalmology Physician
- Logan, UT
National Provider Identifier
1992973671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 49198431205
- Legal business name
- W REED JAUSSI MD PC
- Practice address
- 550 E 1400 N
Ste T
Logan, UT 84341-2406 - Phone
- (435) 752-0202
- Fax
- (435) 752-5475
- NPI assigned
- Feb 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- W Reed Jaussi, MD
- Title
- President
- Phone
- (435) 752-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 49198431205 | UT | Primary |
Addresses
Primary practice location
550 E 1400 N
Ste T
Logan, UT 84341-2406
Mailing address
550 E 1400 N
Ste T
Logan, UT 84341-2406
Phone (435) 752-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03201958 | Other | OWNERSDOB |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Las Vegas, NV
- NPI 1790896660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202947200000",
"number": "1992973671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 E 1400 N",
"address_2": "STE T",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412406",
"telephone_number": "435-752-0202",
"fax_number": "435-752-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E 1400 N",
"address_2": "STE T",
"city": "LOGAN",
"state": "UT",
"postal_code": "843412406",
"telephone_number": "435-752-0202",
"fax_number": "435-752-5475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W REED JAUSSI MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-14",
"last_updated": "2008-02-14",
"status": "A",
"authorized_official_last_name": "JAUSSI",
"authorized_official_first_name": "W",
"authorized_official_middle_name": "REED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "435-752-2020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "UT",
"license": "49198431205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWNERSDOB",
"identifier": "03201958",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.