JEFFREY DAVID ZILLES (NPI# 1508423252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508423252 |
| Entity Type | Individual |
| Full Name | JEFFREY DAVID ZILLES |
| Credential | OD |
| Practice Address |
495 W 600 N Tremonton UT 84337 |
| Mailing Address |
495 W 600 N Tremonton UT 84337-2411 |
| Practice Telephone | 4352577436 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 11316580-9934 | UT | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 495 W 600 N, Tremonton, UT 84337 | 4352577436 |
| Street Address |
495 W 600 N |
| City | TREMONTON |
| State | UT |
| Zip Code | 84337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910397 | Lynn Rex Purcell | Optometrist | 495 W 600 N, Tremonton, UT 84337-2411 | 2005-05-31 |
| 1356653513 | Phillip Lynn Purcell | Optometrist | 495 W 600 N, Tremonton, UT 84337-2411 | 2010-07-05 |
| 1275714412 | Lynn R. Purcell, O.d., Inc | Optometrist | 495 W 600 N, Tremonton, UT 84337-2411 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134563760 | Jm Gauruder LLC | Chiropractor | 805 W Main St., Suite C, Tremonton, UT 84337 | 2013-04-25 |
| 1366717159 | Sean C Horsley | Social Worker | 905 N 1000 E, Tremonton, UT 84337 | 2012-03-13 |
| 1740420835 | Clifton Duane Kerr | General Practice | 725 West 1000 North, Tremonton, UT 84337 | 2009-03-02 |
| 1780877191 | Todd Miller | Family Medicine | 935 S 1000 W, Tremonton, UT 84337 | 2007-08-20 |
| 1982754081 | Bronson C Schultz | Dentist | 525 N 400 W, Tremonton, UT 84337 | 2007-01-11 |
| 1366828642 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 440 W Main St, Tremonton, UT 84337 | 2015-08-10 |
| 1720330228 | Kristina C Gerlach | Social Worker | 440 W 600 N, Tremonton, UT 84337 | 2012-10-08 |
| 1295818664 | Dee Duncan | Psychologist | 881 N Tremont St, Tremonton, UT 84337-1025 | 2006-10-21 |
| 1730558792 | Sarah Hurst | Specialist/Technologist | 720 N 350 E, Tremonton, UT 84337-1040 | 2015-09-21 |
| 1184877052 | Our House of Tremonton | Assisted Living Facility | 429 N 400 W, Tremonton, UT 84337-1222 | 2008-10-23 |
| Find all providers in zip 84337 | ||||
| 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 |
|---|---|---|---|---|
| 1013910397 | Lynn Rex Purcell | Optometrist | 495 W 600 N, Tremonton, UT 84337-2411 | 2005-05-31 |
| 1356653513 | Phillip Lynn Purcell | Optometrist | 495 W 600 N, Tremonton, UT 84337-2411 | 2010-07-05 |
| 1275714412 | Lynn R. Purcell, O.d., Inc | Optometrist | 495 W 600 N, Tremonton, UT 84337-2411 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1104443159 | National Vision Inc | Optometrist | 1917 W 1800 N Ste D1, Clinton, UT 84015-8558 | 2020-06-25 |
| 1295350247 | Victoria Nielsen | Optometrist | 4934 S Plymouth View Dr, Taylorsville, UT 84123-4204 | 2020-06-15 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1013532894 | Meagan Miles | Optometrist | 1752 W 400 N Apt B, Salt Lake City, UT 84116-3546 | 2020-06-08 |
| 1669096020 | Thomas Edward Clark | Optometrist | 3672 W South Jordan Pkwy Ste 103, South Jordan, UT 84009-7172 | 2020-06-02 |
| 1225651011 | Bethany Ruth Gillett | Optometrist | 3029 S Colt Plaza Dr Ste 1, West Valley City, UT 84128-4015 | 2020-05-27 |
| 1881217446 | Collin Robert Gray | Optometrist | 75 W State St, Lehi, UT 84043-1546 | 2020-05-18 |
| 1841820792 | Clifford Parker | Optometrist | 4283 Harrison Blvd, Ogden, UT 84403-3101 | 2020-01-20 |
| 1598303075 | Choice Eye Center, LLC | Optometrist | 12272 S 800 E Ste 100a, Draper, UT 84020-9776 | 2019-12-16 |
| Find all providers with the same taxonomy | ||||
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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.