Utah Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

UTAH EYE ASSOCIATES LLC

Practice address

160 S 1000 E Ste 330
Salt Lake City, UT 84102-1454

Phone

(267) 736-6335

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Ryan Hayes, ODNPI 1043572738

Title

Owner

Phone

(267) 736-6335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Grant Hayes, O.D.

  • Optometrist
  • Moab, UT
  • NPI 1043572738
  Medicare reassignment Care Compare group NPD Authorized official
• Anngelique Janet Bizzaro, OD

  • Optometrist
  • South Jordan, UT
  • NPI 1811636228
  Medicare reassignment Care Compare group NPD
• David R Masihdas, O D P C

  • Corneal and Contact Management Optometrist
  • Salt Lake City, UT
  • NPI 1821079989

  Optometrist, UT

  Medicare reassignment Care Compare group NPD
• Matthew L Watson, O.D.

  • Optometrist
  • Murray, UT
  • NPI 1588990295
  Medicare reassignment NPD

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1124876370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 E PRINCETON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081810",
            "telephone_number": "267-736-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 1000 E STE 330",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021454",
            "telephone_number": "267-736-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-736-6335",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Salt Lake City, UT
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.