BOUNTIFUL EYE CARE PC (NPI# 1396925269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396925269 |
| Entity Type | Organization |
| Organization Name | BOUNTIFUL EYE CARE PC |
| Practice Address |
140 S Main St Bountiful UT 84010-6234 |
| Practice Telephone | 8012952020 |
| Practice Fax Number | 8012928761 |
| Mailing Telephone | 8012952020 |
| Mailing Fax Number | 8012928761 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | DR. ROBERT MURRAY WILKES (OWNER) |
| Authorized Official Telephone | 8012952020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 98-358145-9934 | UT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 870635456009 | 05 |
| Street Address |
140 S MAIN ST |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093788184 | Robert Murray Wilkes | Optometrist | 140 S Main St, Bountiful, UT 84010 | 2006-02-09 |
| 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 | 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 |
|---|---|---|---|---|
| 1558434613 | Bountiful Vision Plaza PC | Optometrist | 311 E 500 S, Bountiful, UT 84010-4924 | 2006-11-16 |
| 1467553990 | Standard Optical Co | Optometrist | 140 W 5th S, Bountiful, UT 84010-6232 | 2006-09-26 |
| 1225325954 | Adam Barry Rudd | Optometrist | 70 N Main St, Bountiful, UT 84010-6101 | 2011-07-01 |
| 1487846655 | Douglas R Smith | Optometrist | 311 E 500 S, Bountiful, UT 84010-4924 | 2007-08-13 |
| 1538359203 | Vision Share LLC | Optometrist | 70 N Main St, Suite 102, Bountiful, UT 84010-6101 | 2007-07-30 |
| 1306935523 | Duane Knowles | Optometrist | 140 W 5th S, Bountiful, UT 84010-6232 | 2006-10-12 |
| 1447271721 | Daniel Wayne Pace | Optometrist | 70 N Main St, Suite 102, Bountiful, UT 84010-6101 | 2006-07-21 |
| 1437199544 | Shawn Page Murray | Optometrist | 190 S 500 W, Bountiful, UT 84010-8729 | 2006-06-07 |
| 1205889078 | Shopko Stores Operating Co. LLC | Optometrist | 190 S 500 W, Bountiful, UT 84010-8729 | 2006-05-19 |
| 1093788184 | Robert Murray Wilkes | Optometrist | 140 S Main St, Bountiful, UT 84010 | 2006-02-09 |
| Find all providers in BOUNTIFUL | ||||
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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.