EYE SURG OF UTAH, LLC (NPI# 1629069281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629069281 |
| Entity Type | Organization |
| Organization Name | EYE SURG OF UTAH, LLC |
| Practice Address |
11820 South State Street 150 Draper UT 84020-7160 |
| Practice Telephone | 8015680200 |
| Practice Fax Number | 8015630200 |
| Mailing Telephone | 8015680200 |
| Mailing Fax Number | 8015630200 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | DR. PHILLIP C HOOPES SR. (CEO/OWNER) |
| Authorized Official Telephone | 8015680200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | HOOPS VISION CORRECTION CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
2000ASF11451 | UT | Ambulatory Health Care Facilities |
| Street Address |
11820 SOUTH STATE STREET 150 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-7160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568797652 | David M Parkinson | Optometrist | 11820 South State Street, Suite 200, Draper, UT 84020-7160 | 2009-10-07 |
| 1427210269 | Weston Terry Barney | Optometrist | 11820 South State Street, Ste. 200, Draper, UT 84020-7160 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275724684 | Laser and Refractive | Clinic/Center | 11820 S State, 100, Draper, UT 84020-9737 | 2007-08-09 |
| 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 |
| 1467520437 | Md Center for Facial Rejuvenation | Clinic/Center | 6440 Wasatch Blvd, Suite 390, Salt Lake City, UT 84121-3511 | 2006-11-30 |
| 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 |
| 1841421914 | Mount Ogden Eye Center | Clinic/Center | 520 Medical Dr, Ste 201, Bountiful, UT 84010-4968 | 2009-08-06 |
| 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 |
| 1538163936 | Rocky Mtn Eye Care Associates Lc | Clinic/Center | 4400 S 700 E, # 100, Salt Lake City, UT 84107-3000 | 2005-06-13 |
| 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.