JESSICA LIN (NPI# 1144759150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144759150 |
| Entity Type | Individual |
| Full Name | JESSICA LIN |
| Credential | OD |
| Practice Address |
3571 W South Jordan Pkwy South Jordan UT 84095-7173 |
| Practice Telephone | 8015235303 |
| Practice Fax Number | 8015235305 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2019-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10383779-9934 | UT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104367176 | Jessica Lin | Specialist | 4515 Westminster Rd, Great Neck, NY 11020-1050 | 2017-03-10 |
| 1578109567 | Jessica Lin | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-11-25 |
| 1366009524 | Jessica Lin | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-05-23 |
| 1689133548 | Jessica Lin | Student in an Organized Health Care Education/Training Program | 1050 Linden Ave, Long Beach, CA 90813-3321 | 2019-03-19 |
| 1740675545 | Jessica Ann Lin | Pediatrics | 333 Longwood Ave, Adolescent Medicine, Boston, MA 02115-5711 | 2015-03-30 |
| 1164830402 | Jessica Sophia Lin | Pharmacist | 3330 Lomita Blvd, Torrance, CA 90505-5002 | 2014-07-30 |
| 1972915551 | Jessica Lin | Psychiatry & Neurology | 550 1st Ave, New York, NY 10016-6402 | 2014-05-29 |
| 1437598695 | Jessica Lee Lin | Physician Assistant | 9300 Campus Point Dr, Mail Code #7411, La Jolla, CA 92037-1300 | 2013-06-21 |
| 1194071134 | Jessica Lin | Pharmacist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2012-07-27 |
| 1528320975 | Jessica Jiyeong Lin | Internal Medicine | 32 Fruit St, Yawkey 7b, Boston, MA 02114-2620 | 2012-06-12 |
| Street Address |
3571 W SOUTH JORDAN PKWY |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-7173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346523958 | Russell Brown | Pharmacist | 3571 W South Jordan Pkwy, South Jordan, UT 84095-7173 | 2011-09-21 |
| 1609304880 | Modern Vision LLC | Optometrist | 3571 W South Jordan Pkwy, South Jordan, UT 84095-7173 | 2017-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| 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 |
|---|---|---|---|---|
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1235697632 | Jeff Simmons Od, Pllc | Optometrist | 5474 W Daybreak Pkwy Ste G3, South Jordan, UT 84009-5909 | 2019-03-05 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1114377165 | Standard Optical Co | Optometrist | 11514 S 4000 W, Bldg H Suite 103, South Jordan, UT 84009-6014 | 2016-06-20 |
| 1932566726 | Ryan J. Mortensen, Inc | Optometrist | 11506 S District Dr Ste 400, South Jordan, UT 84095-5769 | 2016-01-25 |
| 1285927129 | Wasatch View Eye Care | Optometrist | 1218 W South Jordan Pkwy, Suite A, South Jordan, UT 84095-5517 | 2011-05-25 |
| 1801127634 | Wasatch View Eye and Laser Clinic LLC | Optometrist | 922 Baxter Dr, 110, South Jordan, UT 84095-8613 | 2010-01-19 |
| 1457531428 | Kurt Perry Hepworth | Optometrist | 11506 South District Main Dr. #400, South Jordan, UT 84095 | 2007-11-07 |
| 1730210683 | Apple Vision | Optometrist | 10498 S Redwood Rd, South Jordan, UT 84095-8501 | 2007-03-09 |
| 1699864801 | Shelly L Nielsen | Optometrist | 3571 West 10400 South, South Jordan, UT 84095 | 2006-10-12 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.