1407060072 NPI number — MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION

Table of content: (NPI 1407060072)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407060072 NPI number — MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1407060072
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5685 S 1475 E STE 1-A3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH OGDEN
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84403-4716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-621-2883
Provider Business Mailing Address Fax Number:
801-334-7930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5685 S 1475 E STE 1-A3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH OGDEN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84403-4716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-621-2883
Provider Business Practice Location Address Fax Number:
801-334-7930
Provider Enumeration Date:
05/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ALLEN
Authorized Official First Name:
ANSLEY
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
801-773-2233

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com