MEDICARE: OJO EYE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1932818903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OJO EYE CARE LLC

Provider Business Mailing Address
First Line	:	1537 E 925 S
Second Line	:
City	:	CLEARFIELD
State	:	UT
Zip	:	84015-2377
Country	:	US
Telephone Number	:	801-400-2068
Fax Number	:

Provider Business Practice Location Address
First Line	:	4043 RIVERDALE RD # 1092
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84405-1717
Country	:	US
Telephone Number	:	801-400-2068
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. JOHN PEREZ
Credential	:	OD
Telephone Number	:	801-400-1068

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	05/20/2025

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Directions to “OJO EYE CARE LLC ” Practice Location

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