Provider Demographics
NPI:1235697632
Name:JEFF SIMMONS OD
Entity Type:Organization
Organization Name:JEFF SIMMONS OD
Other - Org Name:COPPER VIEW EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-923-3935
Mailing Address - Street 1:5474 W DAYBREAK PKWY STE G3
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-5909
Mailing Address - Country:US
Mailing Address - Phone:801-923-3935
Mailing Address - Fax:
Practice Address - Street 1:5474 W DAYBREAK PKWY STE G3
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-5909
Practice Address - Country:US
Practice Address - Phone:801-923-3935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty