Organization Active NPI

Todd Daynes, MD, PC

  • Ophthalmology Physician
  • Salt Lake City, UT
National Provider Identifier
1043405095
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5842999-1205 Issued in UT
Legal business name
TODD DAYNES, MD, PC
Doing business as
Daynes Eye and LASIK
Practice address
1250 E 3900 S Ste 310
Salt Lake City, UT 84124-1350
Phone
(801) 263-2020
Fax
(801) 263-2229
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Dr. Todd E Daynes, M.D.NPI 1053412494
Title
Ceo
Phone
(801) 671-8530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 5842999-1205 UT Primary

Addresses

Primary practice location

1250 E 3900 S Ste 310
Salt Lake City, UT 84124-1350

Mailing address

280 S Main St Ste 155
Bountiful, UT 84010-6236
Phone (801) 505-0821

Other identifiers 1

IdentifierTypeStateIssuer
529479193002MedicaidUT

Other names 1

  • Daynes Eye and LASIK Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000770 UT Part B Supplier - Clinic/Group Practice 5991890618 Receives reassigned benefits from 1 practitioner
Practice locations: Bountiful, UT

National Provider Directory

National Provider Directory

Locations

425 Medical Dr
#219
Bountiful, UT 84010
Phone (801) 294-8855

520 Medical Dr
Bountiful, UT 84010
Phone (503) 687-1927

280 S Main St
Ste 155
Bountiful, UT 84010

1250 E 3900 S
Ste 310
Salt Lake Cty, UT 84124
Phone (801) 263-2020

324 Tenth Ave
Ste 260
Salt Lake Cty, UT 84103
Phone (801) 408-3937

324 Tenth Ave
Ste 155
Slc, UT 84103

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1043405095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST STE 155",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106236",
            "telephone_number": "801-505-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241350",
            "telephone_number": "801-263-2020",
            "fax_number": "801-263-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD DAYNES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "DAYNES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-671-8530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "5842999-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529479193002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daynes Eye and LASIK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daynes Eye and LASIK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.