MOUNTAIN VALLEY EYE INSTITUTE PC (NPI# 1891796140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891796140 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VALLEY EYE INSTITUTE PC |
| Practice Address |
2700 Homestead Rd Park City UT 84098-4857 |
| Practice Telephone | 4356583090 |
| Practice Fax Number | 4356583094 |
| Mailing Telephone | (435) 615-0435 |
| Mailing Fax Number | 4356583094 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2017-06-29 |
| Authorized Official Name | JOHN B FASSIO (PRESIDENT) |
| Authorized Official Telephone | 4356150435 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
2700 HOMESTEAD RD |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671638 | John B Fassio | Ophthalmology | 2700 Homestead Rd, Park City, UT 84098-4857 | 2005-07-06 |
| 1013331339 | Benjamin Russell | Dentist | 2700 Homestead Rd, #130, Park City, UT 84098-4857 | 2014-02-06 |
| 1922244755 | Patricia K Winkelman | Chiropractor | 2700 Homestead Rd, Suite #20, Park City, UT 84098-4857 | 2008-12-29 |
| 1144338575 | Jeremy Ranch Dental Center | Dentist | 2700 Homestead Rd, Suite # 130, Park City, UT 84098-4857 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671638 | John B Fassio | Ophthalmology | 2700 Homestead Rd, Park City, UT 84098-4857 | 2005-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1679088041 | Steven R Young Md PC | Ophthalmology | 1300 N 500 E Ste 220, Logan, UT 84341-2472 | 2017-12-07 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1699126680 | Judd Michael Cahoon | Ophthalmology | 3281 E Santa Rosa Ave, Salt Lake City, UT 84109-4128 | 2016-06-30 |
| 1851740658 | Phillip Nathan Hale | Ophthalmology | 9215 E 500 S, Huntsville, UT 84317-9749 | 2016-06-13 |
| 1023471901 | David R Griffin | Ophthalmology | 1972 W Grove Pkwy, Ste 300, Pleasant Grove, UT 84062-8406 | 2016-03-30 |
| 1356706469 | John Christian Nelson | Ophthalmology | 3449 South 4155 West, Salt Lake City, UT 84109-2468 | 2015-12-17 |
| 1245625946 | Daniel Rubinstein | Ophthalmology | 9350 S 150 E Ste 400, Sandy, UT 84070-2773 | 2015-03-31 |
| 1750791182 | Kevin Kirk | Ophthalmology | 380 E 800 N, Richfield, UT 84701-1913 | 2014-05-07 |
| 1235496357 | Jack Dunyon Stringham II | Ophthalmology | 1055 N 300 W Ste 210, Provo, UT 84604-3374 | 2012-04-13 |
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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.