Individual provider Active NPI

Christopher Pope, OD

  • Optometrist
  • Pleasant Grove, UT
National Provider Identifier
1023756426
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12849148-9934 Issued in UT
Practice address
908 N 2000 W
Pleasant Grove, UT 84062-4047
Phone
(801) 492-6393
NPI assigned
May 25, 2022
Last updated
May 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12849148-9934 UT Primary
Pediatric Optometrist 152WP0200X 12849148-9934 UT
Vision Therapy Optometrist 152WV0400X 12849148-9934 UT

Addresses

Primary practice location

908 N 2000 W
Pleasant Grove, UT 84062-4047

Mailing address

1880 N 100 E
Centerville, UT 84014-1025

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221020003356 UT Practitioner - Optometry 7810363512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12849148-9934UTMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Eyecare Center, LLC Optometrist CurrentSince Jun 28, 2022 Accepting new patients
Achieve Vision Therapy Center Vision Therapy CurrentSince May 29, 2022 Accepting new patients

Locations

908 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 492-6393

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1023756426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N 100 E",
            "city": "CENTERVILLE",
            "state": "UT",
            "postal_code": "840141025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N 2000 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624047",
            "telephone_number": "801-492-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "CHRISTOPHER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "12849148-9934",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "UT",
            "license": "12849148-9934",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "UT",
            "license": "12849148-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.