Healthcare Provider Details

I. General information

NPI: 1407060072
Provider Name (Legal Business Name): MOUNTAIN VIEW EYE CENTER PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5685 S 1475 E STE 1-A3
SOUTH OGDEN UT
84403-4716
US

IV. Provider business mailing address

5685 S 1475 E STE 1-A3
SOUTH OGDEN UT
84403-4716
US

V. Phone/Fax

Practice location:
  • Phone: 801-621-2883
  • Fax: 801-334-7930
Mailing address:
  • Phone: 801-621-2883
  • Fax: 801-334-7930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: ANSLEY ALLEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 801-773-2233