PROGRESSIVE EYE CARE, LLC (NPI# 1659917706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659917706 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE EYE CARE, LLC |
| Practice Address |
192 E 4500 S Murray UT 84107-2628 |
| Practice Telephone | 8012612020 |
| Practice Fax Number | 8012612052 |
| Mailing Telephone | 8012612020 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | JEFFREY L BROADHEAD (MANAGING MEMBER) |
| Authorized Official Telephone | 8016762020 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | PROGRESSIVE EYE CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Classic Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922282599 | Progressive Eye Care, LLC | Optometrist | 3556 W 9800 S, Suite 104, South Jordan, UT 84095-3211 | 2007-12-19 |
| 1346469723 | Progressive Eye Care, LLC | Optometrist | 1546 Marion Mount Gilead Rd, Marion, OH 43302-5820 | 2007-04-24 |
| Street Address |
192 E 4500 S |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225141120 | J. Ray Wirts | Optometrist | 192 E 4500 S, Murray, UT 84107-2628 | 2006-08-16 |
| 1619209673 | Michaels Classic Optical | Optometrist | 192 E 4500 S, Murray, UT 84107-2628 | 2010-02-02 |
| 1972786572 | Classic Optical | Optometrist | 192 E 4500 S, Murray, UT 84107-2628 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| 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 |
|---|---|---|---|---|
| 1295225357 | Mallory Kay Harris | Optometrist | 817 N 12th St, Murray, KY 42071-1648 | 2018-05-15 |
| 1689987695 | Erica M Zeiders | Optometrist | 5241 S State St Ste 1, Murray, UT 84107-4841 | 2010-07-19 |
| 1588990295 | Matthew L Watson | Optometrist | 6191 S State St Ste 301, Murray, UT 84107-7270 | 2009-10-30 |
| 1053542571 | Jennifer Marie Cherland | Optometrist | 5201 Intermountain Dr, Murray, UT 84107-6024 | 2009-07-31 |
| 1689808602 | Jerry Ray Downard | Optometrist | 228 E 6400 S, Murray, UT 84107-7305 | 2009-05-05 |
| 1255570354 | Eyemax Eyecare, Pllc. | Optometrist | 166 E 5900 S Ste B103, Murray, UT 84107-7278 | 2009-02-12 |
| 1053565788 | Robert P Wooldridge Od PC | Optometrist | 201 E 5900 S Ste 201, Murray, UT 84107-5431 | 2008-11-07 |
| 1275703563 | D Payne Enterprises, Inc | Optometrist | 506 N 12th St, Suite G, Murray, KY 42071-1660 | 2008-03-03 |
| 1356537401 | Eagle Eye Care, Inc. | Optometrist | 6191 S State St Ste 126, Murray, UT 84107-7264 | 2007-09-22 |
| 1578762449 | Reed H Jarvis | Optometrist | 1208 Johnson Blvd, Murray, KY 42071-2961 | 2007-07-12 |
| Find all providers in MURRAY | ||||
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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.