NPIMap

Mt Ogden Eye Center LLC

A Medicare group practice based in Bountiful, UT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2860474962), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2860474962The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Ophthalmology, Part B Supplier - Clinic/Group Practice
Enrolled in
UT, WY
Enrollments
4
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 10 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040602001630 UT Part B Supplier - Clinic/Group Practice 1700927043
O20190304001332 WY Part B Supplier - Clinic/Group Practice 1700927043
O20100930054045 UT DME Supplier - Physician - Ophthalmology 1700927043
O20120124000318 UT DME Supplier - Physician - Ophthalmology 1740431428

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 10 clinicians in this group

Clinicians 22

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (19).

Sources for this page