SOUTH VALLEY EYECARE CENTER, INC. (NPI# 1528299245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528299245 |
| Entity Type | Organization |
| Organization Name | SOUTH VALLEY EYECARE CENTER, INC. |
| Practice Address |
276 Springcreek Pkwy Providence UT 84332 |
| Practice Telephone | 4357134444 |
| Practice Fax Number | 4357871238 |
| Mailing Telephone | 4357134444 |
| Mailing Fax Number | 4357871238 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | DAVID ALLEN SMITH (PRESIDENT) |
| Authorized Official Telephone | 4357134444 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 346644-9934 | UT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BLUE CROSS BLUE SHIELD | 51811974400001 | 01 |
| UT | DMBA | 615808 | 01 |
| UT | ALTIUS | QM0000053383 | 01 |
| UT | 518119744008 | 05 |
| Street Address |
276 SPRINGCREEK PKWY |
| City | PROVIDENCE |
| State | UT |
| Zip Code | 84332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292167 | 3bc Incorporated | Pharmacy | 435 North Gateway Drive #802, Providence, UT 84332 | 2020-10-09 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1033503420 | Spring Creek Surgical Center, LLC | Clinic/Center | 65 North Gateway Drive, Suite 3, Providence, UT 84332 | 2015-03-24 |
| 1558751438 | Naturopathic Medical, P.C. | Naturopath | 565 W. 465 N., Suite 150, Providence, UT 84332 | 2015-01-29 |
| 1821421710 | Erin Campbell | Physical Therapist | 267 West Spring Creek Parkway, Providence, UT 84332 | 2013-08-14 |
| 1285981530 | Jordan Joseph Hansen | Dentist | 169 N Gateway Drive, Suite 200, Providence, UT 84332 | 2012-08-06 |
| 1598086720 | Cory B Maughan | Dermatology | 169 N Gateway Dr Ste 100, Providence, UT 84332 | 2010-06-22 |
| 1316134356 | Heather Saxton Maughan | Speech-Language Pathologist | 344 E Edgehill Dr, Providence, UT 84332 | 2007-10-03 |
| 1902021538 | Brad L Thomas | Physical Therapist | 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 | 2007-04-17 |
| 1558495457 | Maceys Inc | Pharmacy | 50 North Highway 165, Providence, UT 84332 | 2007-03-15 |
| Find all providers in zip 84332 | ||||
| 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 |
|---|---|---|---|---|
| 1396251740 | Mandalay Optical Labs, LLC | Optometrist | 905 Westminster St, Providence, RI 02903-4020 | 2017-12-21 |
| 1427464510 | Kriti Bhagat | Optometrist | 100 Highland Ave Ste 304, Providence, RI 02906-2753 | 2014-07-09 |
| 1073959151 | East Side Vision Care Inc | Optometrist | 213 Thayer St, Providence, RI 02906-1210 | 2013-05-16 |
| 1588750194 | Leslie Kliethermes | Optometrist | 70 Providence Pl, Providence, RI 02903-1747 | 2006-10-04 |
| 1801981691 | James Lawrence Norton | Optometrist | 740 North Main Street, Providence, RI 02904 | 2006-10-04 |
| 1417067950 | David Alan Smith | Optometrist | 276 N. Springcreek Pkwy, Providence, UT 84332-9707 | 2006-08-30 |
| 1720095953 | John D Corrow | Optometrist | 780 North Main St., Providence, RI 02904 | 2006-08-01 |
| 1982637153 | Earle Ullman Scharff IIi | Optometrist | 55 Dorrance St, Providence, RI 02903-2221 | 2006-07-09 |
| 1205826997 | Paul A De Cesare | Optometrist | 354 Broadway, Providence, RI 02909 | 2005-10-25 |
| 1861492001 | John E. Ormando | Optometrist | 891 Westminster St, Providence, RI 02903-4020 | 2005-07-29 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 84332 |
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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.