Roosevelt Vision Clinic, PC in Roosevelt, UT
This location of Roosevelt Vision Clinic bills under NPI 1710973052, an organization record issued on Sep 22, 2005 with the primary taxonomy Optometrist. It is one of 2 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
Organization recordNPPES, Aug 2026
1710973052
- Legal name
- Roosevelt Vision Clinic, PC
- Entity
- Type 2 · organization
- Primary taxonomy
- Optometrist 152W00000X
- Practice location
- 165 W 200 N 71-7, Roosevelt, UT 84066
- Phone
- 435-722-2981
- Enumerated
- Sep 22, 2005
- Record updated
- Aug 27, 2008
- Authorized official
- Owner/Doctor (title as filed)
3 clinicians CMS lists with Roosevelt Vision Clinic in Roosevelt
- Cade Kowallis, ODOptometrist1952781262
- Jason Kowallis, ODOptometrist1942561311
- Jon Wilson, ODOptometrist1760477731
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
All 2 Roosevelt Vision Clinic NPIs
Every location registered under this name, in 2 cities.
See every locationChecking an organization
- Confirm the business with the Utah secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.