Active NPI
James M. Abraham, O. D.
- Optometrist
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 931122779934
- Practice address
- 4995 Atwood Blvd
Murray, UT 84107-4964 - Phone
- (801) 288-0882
- Fax
- (801) 288-0977
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 931122779934 | UT | Primary |
Addresses
Primary practice location
4995 Atwood Blvd
Murray, UT 84107-4964
Mailing address
4995 Atwood Blvd
Murray, UT 84107-4964
Phone (801) 288-0882
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031227000021 | UT | Practitioner - Optometry | 3476451527 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7677 S Maple St
Midvale, UT 84047-7392
Phone (801) 288-0882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931122779934 | UT | MD | Optometrist |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Eye Care , P. C. | Current | Accepting new patients | |
| Advantage Eye Care , P. C. | Current | Accepting new patients |
Locations
7677 S Maple St
Midvale, UT 84047
Phone (801) 288-0882
538 S State St
Orem, UT 84058
Phone (801) 373-1711
394 E University Pkwy
Orem, UT 84058
Phone (801) 373-1711
4995 S Atwood Blvd
Salt Lake City, UT 84107
Phone (801) 288-0882
Networks
- UT PPO D-SNP
- UT PPO
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 and National Provider Directory roles.
-
- Clinic/Center
- Orem, UT
- NPI 1891870002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1063597342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4995 ATWOOD BLVD",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074964",
"telephone_number": "801-288-0882",
"fax_number": "801-288-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4995 ATWOOD BLVD",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074964",
"telephone_number": "801-288-0882",
"fax_number": "801-288-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "JAMES",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "931122779934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.