Individual provider Active NPI

Rita Kartini Drummond, O.D.

  • Optometrist
  • Park City, UT
National Provider Identifier
1053473785
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13396954-9934 Issued in UT
Practice address
2700 Homestead Rd Ste 30
Park City, UT 84098-4874
Phone
(435) 615-0435
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4044 MN
Optometrist 152W00000X 11058TPG CA
Optometrist 152W00000X 13396954-9934 UT Primary
Optometrist 152W00000X 011359 NY

Addresses

Primary practice location

2700 Homestead Rd Ste 30
Park City, UT 84098-4874

Mailing address

2700 Homestead Rd Ste 30
Park City, UT 84098-4874
Phone (435) 615-0435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT, MN, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20111117000773 CA Practitioner - Optometry 2466626924 Reassigns benefits to 2 organizations
I20241113004252 UT Practitioner - Optometry 2466626924 Reassigns benefits to 2 organizations
I20260403001260 MN Practitioner - Optometry 2466626924 Reassigns benefits to 1 organization
I20260408002392 NY Practitioner - Optometry 2466626924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CBS Vision IncGroup PAC ID 2365842978, 3 clinicians

Practice addresses (Care Compare)

2700 Homestead Rd
Suite 30
Park City, UT 84098-4874
Phone (435) 658-3090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11058TPGCAMDOptometrist
4044MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Jan 7, 2026 Accepting new patients
CBS Vision Inc. CurrentSince Dec 20, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Jan 9, 2026 Accepting new patients
Visionworks, Inc CurrentSince Jan 9, 2026 Accepting new patients
Eyecare Specialists Medical Group, Inc Optometrist Past Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients

Locations

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1730 Novato Blvd
Ste C
Novato, CA 94947
Phone (415) 897-1161

5515 Geary Blvd
San Francisco, CA 94121
Phone (415) 387-3553

1850 Adams St
Ste 112
Mankato, MN 56001
Phone (507) 387-6358

2700 Homestead Rd
Ste 30
Park City, UT 84098
Phone (435) 615-0435

10317 S State St
Sandy, UT 84070
Phone (801) 572-4810

2731 S 5600 W
Ste E
West Valley City, UT 84120
Phone (385) 324-5641

Networks

  • UT PPO
  • BSC 65 PLUS INDIVIDUAL MAPD
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: rita.drummond.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: rdrummond@californiaeye.intellechartdirect.net

Organizations & group practices 10

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": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1053473785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HOMESTEAD RD STE 30",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984874",
            "telephone_number": "435-615-0435",
            "fax_number": "435-658-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HOMESTEAD RD STE 30",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840984874",
            "telephone_number": "435-615-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "RITA",
        "middle_name": "KARTINI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4044",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11058TPG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "13396954-9934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.