MODERN VISION LLC
NPI 1609304880
Optometrist in South Jordan, UT

NPI Status: Active since June 01, 2017

Contact Information

3571 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 523-5303
Fax: (801) 523-5301

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  • Organization
  • Optometrist

About MODERN VISION LLC

This page provides the complete NPI Profile along with additional information for Modern Vision Llc, a provider established in South Jordan, Utah operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1609304880 assigned on June 2017. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Shelly L Nielsen Od (Manager, Owner, Optometrist)

NPI
1609304880
Provider Name
MODERN VISION LLC
Entity Type
Organization
Location Address
3571 W SOUTH JORDAN PKWY SOUTH JORDAN, UT 84095
Location Phone
(801) 523-5303
Location Fax
(801) 523-5301
Mailing Address
1043 N 1000 W AMERICAN FORK, UT 84003
Mailing Phone
(801) 919-5154
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2017
Last Update Date
06-01-2017
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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

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License State
UT
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Group Taxonomy 193400000X 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.

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

DR. SHELLY L NIELSEN OD

Authorized Official Title
MANAGER, OWNER, OPTOMETRIST
Authorized Official Phone
(801) 919-5154

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609304880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609608816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 0 + 8 + 8 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609304880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

RUSSELL BROWN PHARMD

Pharmacist

3571 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT
ZIP 84095

(801) 523-5297

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609304880, enumerated as an "organization" on June 01, 2017.

The provider is located at 3571 W SOUTH JORDAN PKWY SOUTH JORDAN, UT 84095 and the phone number is (801) 523-5303.

Optometrist with taxonomy code 152W00000X.