Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremiah V Church, OD

Individual provider Optometrist · NPI 1083962245

Dr. Jeremiah V Church, OD is an Optometry in Ogden, Utah. Qualified in 2012, 14 years ago. Practices with Country Hills Eye Center, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
14
Licensed in
UT
In the registry since
2012
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

875 Country Hills Dr
Ogden, UT 84403-2200
Phone: (801) 399-1149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5991 S 3500 W Ste 400, Roy, UT 84067-6702 — (801) 399-1149
  • 1483 E Ridgeline Dr Ste 100, South Ogden, UT 84405-4977 — (801) 399-1149

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5596291-9934 (UT)
Ophthalmology Physician Taxonomy 207W00000X · Licence 5596291-9934 (UT)

Record details

NPI number1083962245
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 20, 2012
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Country Hills Eye Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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