Individual provider Active NPI

David Paul Eastman, O.D.

  • Optometrist
  • Cedar City, UT
National Provider Identifier
1043303340
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
265728-9934 Issued in UT
Practice address
1333 N Main St
Cedar City, UT 84721-9314
Phone
(435) 586-9777
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 265728-9934 UT Primary

Addresses

Primary practice location

1333 N Main St
Cedar City, UT 84721-9314

Mailing address

1333 N Main St
Cedar City, UT 84721-9314
Phone (435) 586-9777

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
I20040402000173 UT Practitioner - Optometry 3173515699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ion Vision PLLCGroup PAC ID 0042570426, 7 clinicians

Practice addresses (Care Compare)

50 S Main St
Suite 115
Salt Lake City, UT 84101-4510
Phone (801) 901-3346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
265728-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ion Vision PLLC Optometrist CurrentSince Jun 6, 2022 Accepting new patients

Locations

50 S Main St
Ste 115
Salt Lake City, UT 84101
Phone (801) 359-2260

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1043303340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219314",
            "telephone_number": "435-586-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219314",
            "telephone_number": "435-586-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "265728-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.