| NPI | 1366645954 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-06-09 |
| Last Updated | 2013-02-13 |
| Authorized Official | Denmark Jensen Owner Phone: 8015462481 |
| Mailing Address | 180 West Gordon Ave Layton, UT 84041 United States Phone: (801) 546-2481 | Fax: (801) 546-2483 📍 View Map |
| Primary Practice Address | 180 West Gordon Ave Layton, UT 84041 United States Phone: (801) 546-2481 | Fax: (801) 546-2483 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | UT | 529461401004 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 152WL0500X – Optometrist, Low Vision Rehabilitation | UT | 108553-8908 |
| No | 152WS0006X – Optometrist, Sports Vision | UT | 108553-8908 |
| No | 152WX0102X – Optometrist, Occupational Vision | UT | 108553-8908 |
| Yes | 152WP0200X – Optometrist, Pediatrics | UT | 108553-8908 |
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About NPI 1366645954
Layton Visual Center is an organization registered in the CMS NPPES NPI Registry with NPI number 1366645954. The primary specialty listed is Optometrist, Pediatrics. The organization is located in Layton, UT. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-06-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366645954?
NPI 1366645954 belongs to Layton Visual Center, a Optometrist, Pediatrics in Layton, UT. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366645954 active?
The current status of NPI 1366645954 in the NPPES registry is Active. The record was last updated on 2013-02-13.
What specialty is NPI 1366645954?
NPI 1366645954 is classified under the taxonomy Optometrist, Pediatrics. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366645954?
You can verify NPI 1366645954 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366645954?
The primary practice address on file for NPI 1366645954 is 180 West Gordon Ave, Layton, UT 84041. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366645954 issued?
NPI 1366645954 was first issued (enumerated) on 2007-06-09. The NPPES record was last updated on 2013-02-13.
Practice Location Map
Layton Visual Center is located at 180 West Gordon Ave, Layton, UT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Layton Visual Center. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1366645954. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist, Low Vision Rehabilitation | 108553-8908 | UT |
| Optometrist, Sports Vision | 108553-8908 | UT |
| Optometrist, Occupational Vision | 108553-8908 | UT |
| Optometrist, Pediatrics | 108553-8908 | UT |