Individual provider Active NPI

Sherman H Peirce, O.D.

  • Optometrist
  • Draper, UT
National Provider Identifier
1164455317
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5944605-9934 Issued in UT
Practice address
12357 S 450 E
Suite 2
Draper, UT 84020-8127
Phone
(801) 572-9804
Fax
(801) 572-9805
NPI assigned
Jul 9, 2006
Last updated
Sep 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5944605-9934 UT Primary

Addresses

Primary practice location

12357 S 450 E
Suite 2
Draper, UT 84020-8127

Mailing address

2041 Stonewood CT
Sandy, UT 84093-6925
Phone (801) 413-9193

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
I20051219000243 UT Practitioner - Optometry 5890716856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12357 S 450
Suite 2
Draper, UT 84020-8127
Phone (801) 572-9804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5944605-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Eye Care Associates, L.L.C. Optometrist CurrentSince May 1, 2008 Accepting new patients
Spencer D Johnson OD PC Optometrist PastSince Jan 18, 2010 Accepting new patients
Standard Optical Company Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients

Locations

12357 S 450 E
Ste 2
Draper, UT 84020
Phone (801) 572-9804

Networks

  • UT PPO D-SNP
  • UT PPO

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, 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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1164455317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 STONEWOOD CT",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936925",
            "telephone_number": "801-413-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12357 S 450 E",
            "address_2": "SUITE 2",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208127",
            "telephone_number": "801-572-9804",
            "fax_number": "801-572-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIRCE",
        "first_name": "SHERMAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5944605-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.