Individual provider Active NPI

Ryan Grant Hayes, O.D.

  • Optometrist
  • Moab, UT
National Provider Identifier
1043572738
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8331523-9934 Issued in UT
Practice address
3031 S Highway 191
Moab, UT 84532-3629
Phone
(435) 259-9441
NPI assigned
Jun 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 OD60427821 WA
Optometrist 152W00000X OPT-OPT-LIC-3089 MT
Optometrist 152W00000X 8331523-9934 UT Primary

Addresses

Primary practice location

3031 S Highway 191
Moab, UT 84532-3629

Mailing address

1723 E Princeton Ave
Salt Lake City, UT 84108-1810
Phone (267) 736-6335

Other identifiers 3

IdentifierTypeStateIssuer
OD60427821OtherWASTATE LICENSE
OPT-OPT-LIC-3089OtherMTSTATE LICENSE
8331523-9934OtherUTSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180223002405 UT Practitioner - Optometry 2668797663 Reassigns benefits to 4 organizations
I20210322002347 MT Practitioner - Optometry 2668797663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Eye Associates LLCGroup PAC ID 8820534886, 3 clinicians
Powder Basin Eyepros LLCGroup PAC ID 5193258390, 2 clinicians
Moab EyecareGroup PAC ID 7517365315, 2 clinicians

Practice addresses (Care Compare)

160 S 1000
Suite 330
Salt Lake City, UT 84102-1454
Phone (801) 363-2851

2143 N 5500
Eden, UT 84310-9624
Phone (385) 732-1532

3031 S Hwy 191
Moab, UT 84532-3629
Phone (435) 259-9441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-OPT-LIC-3089MTMDOptometrist
OD60427821WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Hayes LLC Optometrist CurrentSince Nov 24, 2020 Accepting new patients
Powder Basin Eyepros LLC Optometrist CurrentSince Sep 12, 2024 Accepting new patients
Utah Eye Associates LLC Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Ion Vision PLLC Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Moab Eyecare Optometrist CurrentSince Sep 10, 2021 Accepting new patients

Locations

111 S 24th St W
Ste 1
Billings, MT 59102
Phone (406) 530-8886

3031 S Highway 191
Moab, UT 84532
Phone (435) 259-9441

6191 S State St
Ste 301
Salt Lake City, UT 84107
Phone (801) 268-0408

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

160 S 1000 E
Ste 330
Salt Lake Cty, UT 84102
Phone (801) 355-0195

10450 S State St
Ste 1312
Sandy, UT 84070
Phone (801) 572-1015

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 5

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": "1339200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1043572738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 E PRINCETON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081810",
            "telephone_number": "267-736-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 S HIGHWAY 191",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845323629",
            "telephone_number": "435-259-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "RYAN",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-09",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60427821",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-3089",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8331523-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OD60427821",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT-OPT-LIC-3089",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "8331523-9934",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.