Individual provider Active NPI

Ashley Craven, O.D.

  • Optometrist
  • Sandy, UT
National Provider Identifier
1154739779
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15192 Issued in CA
Practice address
10835 S 700 E
Sandy, UT 84070-4702
Phone
(801) 495-2020
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15192 CA Primary

Addresses

Primary practice location

10835 S 700 E
Sandy, UT 84070-4702

Mailing address

10835 S 700 E
Sandy, UT 84070-4702
Phone (801) 495-2020

Other practice location 1

4150 Clement St
VA Eye Clinic 112A
San Francisco, CA 94121-1545
Phone (405) 750-2208 ext. 5759

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
I20191218001032 UT Practitioner - Optometry 9638484355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brweye IncGroup PAC ID 6901706993, 3 clinicians

Practice addresses (Care Compare)

10835 S 700
Invision Eye Health
Sandy, UT 84070-4702
Phone (801) 495-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15192CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brweye Inc Optometrist CurrentSince Nov 15, 2019 Accepting new patients

Locations

10835 S 700 E
Sandy, UT 84070
Phone (801) 208-0734

Networks

  • UT PPO D-SNP
  • UT PPO

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.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1154739779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10835 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704702",
            "telephone_number": "801-495-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10835 S 700 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704702",
            "telephone_number": "801-495-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Clement St",
            "address_2": "VA Eye Clinic 112A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941211545",
            "country_code": "US",
            "telephone_number": "405-750-2208 x5759",
            "fax_number": "415-379-5990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.