MOUNT OGDEN EYE CENTER (NPI# 1841421914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841421914 |
Entity Type | Organization |
Organization Name | MOUNT OGDEN EYE CENTER |
Practice Address |
520 Medical Dr Ste 201 Bountiful UT 84010-4968 |
Mailing Address |
Po Box 1529 Layton UT 84041-6529 |
Practice Telephone | 8012928878 |
Mailing Telephone | 8015939223 |
Mailing Fax Number | 8015939626 |
Enumeration Date | 2009-08-06 |
Last Update Date | 2009-08-06 |
Authorized Official Name | MICHELLE APADACA (SUPERVISOR) |
Authorized Official Telephone | 8015292483 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
7143320-1205 | UT | Ambulatory Health Care Facilities |
Street Address |
520 MEDICAL DR STE 201 |
City | BOUNTIFUL |
State | UT |
Zip Code | 84010-4968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487655668 | Douglas Ray Coombs | Specialist | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2005-08-10 |
1972952844 | Emily Daines | Nurse Practitioner | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2016-06-10 |
1558633487 | Douglas R. Coombs, Md, Inc | Pediatrics | 520 Medical Dr, #301, Bountiful, UT 84010-4968 | 2012-02-08 |
1891008777 | Grant A. Fairbanks, Md PC | Plastic Surgery | 520 Medical Dr, Suite 210, Bountiful, UT 84010-4968 | 2010-07-20 |
1124293808 | Bountiful Internal Medicine & Pulmonology Associates LLC | Internal Medicine | 520 Medical Dr, Suite 200, Bountiful, UT 84010-4968 | 2008-04-24 |
1194903328 | John B Lyman Md PC | Ophthalmology | 520 Medical Dr, Suite 201, Bountiful, UT 84010-4968 | 2008-02-11 |
1235340019 | Gina Markos Capps | Nurse Practitioner | 520 Medical Dr, Bountiful, UT 84010-4968 | 2007-05-24 |
1447478458 | Brian James Holdstock | Nurse Practitioner | 520 Medical Dr, Suite #301, Bountiful, UT 84010-4968 | 2007-04-23 |
1184840597 | G Richard Ellis | Physician Assistant | 520 Medical Dr, Suite #310, Bountiful, UT 84010-4968 | 2007-04-17 |
1255466447 | Ihc Health Services Inc | Dermatology | 520 Medical Dr, #320, Bountiful, UT 84010-4968 | 2007-02-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
Find all providers in zip 84010 |
Taxonomy Code | 261QS0132X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ophthalmologic Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033664578 | The Cataract Vision Institute LLC | Clinic/Center | 7440 S Creek Rd, Suite 150, Sandy, UT 84093-5501 | 2016-08-24 |
1851736359 | Ward Eye Clinic | Clinic/Center | 1485 E 3900 S Ste 104, Salt Lake City, UT 84124-1464 | 2013-05-09 |
1275724684 | Laser and Refractive | Clinic/Center | 11820 S State, 100, Draper, UT 84020-9737 | 2007-08-09 |
1467520437 | Md Center for Facial Rejuvenation | Clinic/Center | 6440 Wasatch Blvd, Suite 390, Salt Lake City, UT 84121-3511 | 2006-11-30 |
1629069281 | Eye Surg of Utah, LLC | Clinic/Center | 11820 South State Street, 150, Draper, UT 84020-7160 | 2005-11-02 |
1427677095 | Kirk Eye LLC | Clinic/Center | 380 E 800 N, Richfield, UT 84701-1913 | 2020-04-13 |
1659640548 | Avalon Oculoplastics PC | Clinic/Center | 78 E 900 N, Spanish Fork, UT 84660-1232 | 2011-12-21 |
1043465032 | Darcy H. Wolsey Md LLC | Clinic/Center | 1025 E 3300 S, #b, Slc, UT 84106-2849 | 2008-11-18 |
1215148788 | Dixie Eye Surgi-center Inc | Clinic/Center | 1085 S Bluff St, St George, UT 84770-5245 | 2007-05-25 |
1831182799 | Zion Eye Institute, Inc | Clinic/Center | 1791 E 280 N, St George, UT 84790-2463 | 2005-08-25 |
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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.