Kerry Allen Okelberry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

112-513-9934 Issued in UT

Practice address

6705 Redwood Rd
West Jordan, UT 84084-2402

Phone

(801) 268-0866

Fax

(801) 268-2092

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sheri Meyer O D PLLC

  • Optometrist
  • West Jordan, UT
  • NPI 1063293579
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1013928118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842402",
            "telephone_number": "801-268-0866",
            "fax_number": "801-268-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840842402",
            "telephone_number": "801-268-0866",
            "fax_number": "801-268-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKELBERRY",
        "first_name": "KERRY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "112-513-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "DR 3610",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "41008204",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lysette Odekirk
• Gabriela Odom, LMT
• Rebecca Elizabeth Oehlerking
• Jaiden Ogao
• John M Ogden, LCSW
• David Okubo, M.D.
• Renee Olesen, MD
• Max Olivier
• Collin Mark Olsen, M.A., CCC-SLP
• Courtney Olsen

• Optometrist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.