LAYTON VISUAL CENTER (NPI# 1366645954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366645954 |
| Entity Type | Organization |
| Organization Name | LAYTON VISUAL CENTER |
| Other Organization Name | LAYTON VISUAL CENTER, INC |
| Practice Address |
180 West Gordon Ave Layton UT 84041 |
| Practice Telephone | 8015462481 |
| Practice Fax Number | 8015462483 |
| Mailing Telephone | 8015462481 |
| Mailing Fax Number | 8015462483 |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2013-02-13 |
| Authorized Official Name | MR. DENMARK RAY JENSEN (OWNER) |
| Authorized Official Telephone | 8015462481 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
108553-8908 | UT | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
108553-8908 | UT | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
108553-8908 | UT | Eye and Vision Services Providers |
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
108553-8908 | UT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 529461401004 | 05 |
| Other Name | Type Code |
|---|---|
| Layton Visual Center, Inc | Other Name - Individual/Organization |
| Street Address |
180 WEST GORDON AVE |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740644301 | University of Utah Pediatric Services | Optometrist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1578949699 | Duval and Price Eye Care | Optometrist | 3507 N University Ave Ste 225, Provo, UT 84604-6635 | 2015-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.