David J Wilde, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13908035-1205 Issued in UT

Practice address

5872 S 900 E Ste 100
Murray, UT 84121-1677

Phone

(801) 261-0726

Fax

(801) 262-2838

NPI assigned

Apr 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Texas Medical School at San Antonio, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olympus Eye Associates PCGroup PAC ID 9739360181, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Interoperability endpoints

• Direct secure messaging: d.wilde@utaheye.imwdirect.com

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.

• Olympus Eye Associates, PC

  • Ophthalmology Physician
  • Murray, UT
  • NPI 1912202425
  Medicare reassignment Care Compare group NPD
• Mt Ogden Eye Center LLC

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1700927043
  Medicare reassignment NPD
• Mt Ogden Eye Center LLC

  • Ophthalmology Physician
  • Bountiful, UT
  • NPI 1740431428
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1184253270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211677",
            "telephone_number": "801-261-0726",
            "fax_number": "801-262-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211677",
            "telephone_number": "801-261-0726",
            "fax_number": "801-262-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-06-27",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "13908035-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Guyon Whitten, M.D.
• Allison Whitworth
• Benjamin James Widmer, MD
• Jennifer Aileen Wight, PA-C
• Chelbi Wilde, AGACNP
• Siena Wilder
• Brandon Wile
• Meadow Wiliams
• Shannon Wilk
• Jennifer Anne Wilke, MS, RD, CED-S, CSSD

• Ophthalmology Physician in Murray, UT
• Providers in Murray, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.

Verify at the official NPI Registry.