Sean Patrick Cushman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

126805119934 Issued in UT

Practice address

755 E 3900 S
Salt Lake City, UT 84107-2176

Phone

(801) 266-2283

Fax

(801) 268-6151

NPI assigned

Jun 14, 2021

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Institute of Utah IncGroup PAC ID 3678556438, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.68 of 100Reported as group

Quality

98.84

Improvement activities

40

Cost

77.15

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: scushman@directaddress.net

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.

• Eye Institute of Utah Inc

  dba The Eye Institute of Utah

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1366515041
  Medicare reassignment Care Compare group NPD
• The Eye Institute of Utah

  • Optometrist
  • Rock Springs, WY
  • NPI 1184809535
  NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1023686474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072105",
            "telephone_number": "801-266-2283",
            "fax_number": "801-268-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E 3900 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072176",
            "telephone_number": "801-266-2283",
            "fax_number": "801-268-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "126805119934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy M. Curtis, MD
• Candace Curzon, LCSW
• Carin Cushenberry, CSW
• Daniel Matthew Cushman, M.D.
• Laura Cushman
• Linda R. Custer, F.N.P
• Amanda Leann McPherson Cutler, LCSW
• Craig J Cutler, OD
• Elizabeth Crapo Hellewell Cutler
• Pamela Erickson Cutler, RN BSN

• Optometrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.