Individual provider Active NPI

Ian T Christensen, MD

  • Ophthalmology Physician
  • Park City, UT
National Provider Identifier
1104449875
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14258924-1205 Issued in UT
Practice address
2700 Homestead Rd Ste 30
Park City, UT 84098-4874
Phone
(435) 658-3090
Fax
(435) 658-3094
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14258924-1205 UT Primary

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) 658-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, UT, WY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240701003278 OR Practitioner - Ophthalmology 6608256375 Reassigns benefits to 1 organization
I20260107002533 UT Practitioner - Ophthalmology 6608256375 Reassigns benefits to 1 organization
I20260219002409 WY Practitioner - Ophthalmology 6608256375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CBS Vision IncGroup PAC ID 2365842978, 3 clinicians
Eye Health Northwest PCGroup PAC ID 9234039926, 72 clinicians

Practice addresses (Care Compare)

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

720 6TH St
Evanston, WY 82930-3702
Phone (435) 615-0435

9 Monroe Pkwy
Suite 160
Lake Oswego, OR 97035-8863
Phone (503) 636-2551

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Intermountain Health Heber Valley Hospital Hospital, Heber City, UT, CCN 461307

Merit-based Incentive Payment System (MIPS)

Final score
88.74 of 100Reported as group
Quality
85.23
Promoting interoperability
100
Improvement activities
40
Cost
77.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14258924-1205UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Northwest P.C. Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
CBS Vision Inc. Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
Eye Health Northwest, PC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
David R Russell OD PastSince Apr 15, 2005 Accepting new patients

Locations

18345 SW Alexander St
Ste A
Beaverton, OR 97003
Phone (503) 642-2505

9 Monroe Pkwy
Ste 160
Lake Oswego, OR 97035
Phone (503) 636-2551

2318 E Portland Rd
Ste 300
Newberg, OR 97132
Phone (503) 538-0411

9135 SW Barnes Rd
Ste 961
Portland, OR 97225
Phone (503) 292-0848

11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020

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

720 6th St
Evanston, WY 82930
Phone (307) 789-1500

190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: ian.christensen@direct.ehnpc.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1104449875",
    "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": "435-658-3090",
            "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": "435-658-3090",
            "fax_number": "435-658-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "IAN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "14258924-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.