Individual provider Active NPI

Stuart K Allan, OD

  • Optometrist
  • Kanab, UT
National Provider Identifier
1114986270
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3755239934 Issued in UT
Practice address
75 E 200 S
Suite 1
Kanab, UT 84741
Phone
(435) 644-5717
Fax
(435) 644-5790
NPI assigned
Mar 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3755239934 UT Primary

Addresses

Primary practice location

75 E 200 S
Suite 1
Kanab, UT 84741

Mailing address

75 E 200 S
Suite 1
Kanab, UT 84741
Phone (435) 644-5717

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000712 UT Practitioner - Optometry 4486686185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 E 200
Suite 1
Kanab, UT 84741-3606
Phone (435) 644-5717

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3755239934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kane County Human Resource Special Service District PastSince Mar 17, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114986270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E 200 S",
            "address_2": "SUITE 1",
            "city": "KANAB",
            "state": "UT",
            "postal_code": "84741",
            "telephone_number": "435-644-5717",
            "fax_number": "435-644-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 200 S",
            "address_2": "SUITE 1",
            "city": "KANAB",
            "state": "UT",
            "postal_code": "84741",
            "telephone_number": "435-644-5717",
            "fax_number": "435-644-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "STUART",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "3755239934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kanab, UT

Sources for this page

Verify at the official NPI Registry.