Active NPI
Kirk Bradley Drennan, O.D.
- Optometrist
- Draper, UT
National Provider Identifier
1104984343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5147696-9934
- Practice address
- 11820 S State St Ste 200
Draper, UT 84020-7160 - Phone
- (801) 568-0200
- Fax
- (801) 563-0200
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 5147696-9934 | UT | Primary |
Addresses
Primary practice location
11820 S State St Ste 200
Draper, UT 84020-7160
Mailing address
11820 S State St Ste 200
Draper, UT 84020-7160
Phone (801) 568-0200
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11820 S State St
Suite 200
Draper, UT 84020-7160
Phone (801) 568-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopes Vision Correction Center, PC | Current | Accepting new patients |
Locations
11820 S State St
Ste 200
Draper, UT 84020
Phone (801) 568-0200
Interoperability endpoints
- kdrennan@hoopes.intellechartdirect.net
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Draper, UT
- NPI 1982759122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1104984343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11820 S STATE ST STE 200",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207160",
"telephone_number": "801-568-0200",
"fax_number": "801-563-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 S STATE ST STE 200",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207160",
"telephone_number": "801-568-0200",
"fax_number": "801-563-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRENNAN",
"first_name": "KIRK",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "5147696-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.