COUNTRY HILLS EYE CENTER
NPI 1447460464
Specialist in South Ogden, UT

NPI Status: Active since May 22, 2007

Contact Information

1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT
ZIP 84405
Phone: (801) 399-1149
Fax: (801) 399-0248

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  • Organization
  • Specialist
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About COUNTRY HILLS EYE CENTER

This page provides the complete NPI Profile along with additional information for Country Hills Eye Center, a provider established in South Ogden, Utah operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1447460464 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X with license number 169112-1205 (UT). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Mandelin Borce (Credentialing)

NPI
1447460464
Provider Legal Name
COUNTRY HILLS EYE CENTER
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1483 E RIDGELINE DR STE 100 SOUTH OGDEN, UT 84405
Location Phone
(801) 399-1149
Location Fax
(801) 399-0248
Mailing Address
1493 E RIDGELINE DR STE 100 SOUTH OGDEN, UT 84405
Mailing Phone
(801) 399-1149
Mailing Fax
(801) 399-0248
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-22-2007
Last Update Date
10-09-2025
Code Navigator



Country Hills Eye Center is a medicare supplier with PTAN 20635667 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

Location Map

Secondary Locations

  • 875 Country Hills Dr
    Ogden, UT 84403
    (801) 399-1149
  • 5991 S 3500 W Ste 400
    Roy, UT 84067
    (801) 399-1149

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
169112-1205
License State
UT
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

182590-1205 (UT)
2174400000XOther Service Providers

Specialist

175314-1205 (UT)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MANDELIN BORCE

Authorized Official Title
CREDENTIALING
Authorized Official Phone
(801) 399-0209

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20635667
Accepts Medicare Assignment
YES
Specialities List
Optician.
Provider Type List
PHYSICIAN – OPHTHALMOLOGY.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

Reviews for COUNTRY HILLS EYE CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447460464, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 4 → 8 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 8 + 6 + 0 + 4 + 1 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1447460464.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405
Ophthalmology
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405
Ophthalmology
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405
Ophthalmology
1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT 84405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447460464, enumerated as an "organization" on May 22, 2007.

The provider is located at 1483 E RIDGELINE DR STE 100 SOUTH OGDEN, UT 84405 and the phone number is (801) 399-1149.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, BlueCross. Please consult your insurance carrier or call the provider to verify.