Andrew L Bibo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8674084-9934 Issued in UT

Practice address

991 Shepard LN
Ste 105
Farmington, UT 84025-2973

Phone

(801) 923-3145

NPI assigned

May 29, 2013

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Viewpoint Eyecare LLC

  • Optometrist
  • Farmington, UT
  • NPI 1952851792
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1063859155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 SHEPARD LN",
            "address_2": "STE 105",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252973",
            "telephone_number": "801-923-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 SHEPARD LN",
            "address_2": "STE 105",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252973",
            "telephone_number": "801-923-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBO",
        "first_name": "ANDREW",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8674084-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Bennee
• George Martin Bennett, MD
• Tad S. Bergen, AUD.
• David Glyn Berryman, LCSW
• Richard Beutler, M.D.
• Cassandra Child Bingham, PAC
• Holly Bingham
• Caroline Clark Bjarnason, M.S.
• Kori Elizabeth Boes, CMHC
• Amy Bolton

• Optometrist in Farmington, UT
• Providers in Farmington, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.

Verify at the official NPI Registry.