EYE DOCTOR LLC (NPI# 1407470040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407470040 |
| Entity Type | Organization |
| Organization Name | EYE DOCTOR LLC |
| Practice Address |
5331 Adams Ave Pkwy Ste B Ogden UT 84405-4755 |
| Mailing Address |
11187 S 2865 W South Jordan UT 84095-8438 |
| Practice Telephone | 8014797850 |
| Practice Fax Number | 8014797825 |
| Mailing Telephone | 8019106063 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | DR. JEREMIAH V CHURCH (OPTOMETRIST) |
| Authorized Official Telephone | 8014797850 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Promontory Family Vision | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5331 Adams Ave Pkwy Ste B, Ogden, UT 844054755 | 8014797850 |
| Street Address |
5331 ADAMS AVE PKWY STE B |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-4755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841820792 | Clifford Parker | Optometrist | 4283 Harrison Blvd, Ogden, UT 84403-3101 | 2020-01-20 |
| 1568955623 | Taylor Woodward Linton | Optometrist | 4403 Harrison Blvd Ste 3600, Ogden, UT 84403-3285 | 2018-06-12 |
| 1356420590 | Greg Michael Wenom | Optometrist | 5735 Harrison Blvd, Ogden, UT 84403-4324 | 2006-11-06 |
| 1538260021 | Standard Optical Co | Optometrist | 4305 Harrison Blvd, #9b, Ogden, UT 84403-3306 | 2006-09-26 |
| 1659384204 | Dr. Dale A. Woodfield and Associates, LLC | Optometrist | 3651 Wall Ave, 1226, Ogden, UT 84405-7110 | 2006-08-14 |
| 1336175298 | Lincoln Dygert | Optometrist | 3475 Harrison Blvd, Ogden, UT 84403-1230 | 2006-06-23 |
| 1275569444 | Rich H Humpherys | Optometrist | 1055 N Washington Blvd, Ogden, UT 84404-3605 | 2006-06-23 |
| 1750351441 | Scott David Peterson | Optometrist | 3988 Washington Blvd, Ogden, UT 84403-1826 | 2006-01-25 |
| 1639155617 | Greg M. Pickett | Optometrist | 1196 30th St, Ogden, UT 84403-0353 | 2005-12-21 |
| 1659355212 | Frank Louis Salimeno | Optometrist | 5089 S Adams Ave, Ste C, Ogden, UT 84403-4126 | 2005-12-06 |
| Find all providers in OGDEN | ||||
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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.