APPLE VALLEY VISION LLC — NPI 1356400337 (Licensed & Credentialed Eye and Vision Service Providers

CMS-1500 Box 24J / 33a • NPI

1356400337

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

152W00000X (CMS 41)

Licensed & Credentialed Eye and Vision Service Providers — Optometrist

Box 32 Service Location & ZIP+4

539 SOUTH 100 WEST, PAYSON, UT, 84651

Official NPPES Practice Location

Practice Phone & Referral Fax

(801) 465-0355

Fax: (801) 465-9238

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1356400337 (APPLE VALLEY VISION LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1356400337` (NPI-2 Organization / Facility)
Provider / Legal Name	APPLE VALLEY VISION LLC
Plain-English Specialty	Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: `152W00000X` (Optometrist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	539 SOUTH 100 WEST, PAYSON, UT, 84651
Practice Telephone / Fax	Tel: (801) 465-0355 \| Fax: (801) 465-9238
Administrative Mailing Address	539 SOUTH 100 WEST, PAYSON, UT, 84651
Enumeration & Last Sync	Enumerated: 2006-12-06 \| CMS Record Updated: 2013-02-25
Authorized Official	BRIAN ROWLEY (Physician)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

539 SOUTH 100 WEST, PAYSON, UT, 84651

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Plain-English Taxonomy & CMS Crosswalk (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (APPLE VALLEY VISION LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: UT \| License: `51471439934` \| Primary: Secondary
`152WC0802X` — Optometrist, Corneal and Contact Management Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Corneal and Contact Management	State: UT \| License: `51471439934` \| Primary: Secondary
`152WP0200X` — Optometrist, Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: UT \| License: `51471439934` \| Primary: Secondary
`152WS0006X` — Optometrist, Sports Vision Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Sports Vision	State: UT \| License: `51471439934` \| Primary: Secondary
`152WV0400X` — Optometrist, Vision Therapy Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Vision Therapy	State: UT \| License: `51471439934` \| Primary: Secondary
`152WX0102X` — Optometrist, Occupational Vision Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Occupational Vision	State: UT \| License: `51471439934` \| Primary: Secondary
`152WL0500X` — Optometrist, Low Vision Rehabilitation Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Low Vision Rehabilitation	State: UT \| License: `5147143-9934` \| Primary: Secondary
`152WX0102X` — Optometrist, Occupational Vision Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Occupational Vision	State: UT \| License: `5147143-9934` \| Primary: Secondary
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: UT \| License: `5147143-9934` \| Primary: Yes (Primary)

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APPLE VALLEY VISION LLC (NPI #1356400337)