Provider Demographics
NPI:1952851792
Name:VIEWPOINT EYECARE LLC
Entity Type:Organization
Organization Name:VIEWPOINT EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:BIBO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:801-923-3145
Mailing Address - Street 1:991 SHEPARD LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-2972
Mailing Address - Country:US
Mailing Address - Phone:801-923-3145
Mailing Address - Fax:
Practice Address - Street 1:991 SHEPARD LN
Practice Address - Street 2:SUITE 105
Practice Address - City:FARMINGTON
Practice Address - State:UT
Practice Address - Zip Code:84025-2972
Practice Address - Country:US
Practice Address - Phone:801-923-3145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8674084-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U000078765Medicare UPIN