Individual provider Active NPI

Michael Simmons, M.D.

  • Ophthalmology Physician
  • Ogden, UT
National Provider Identifier
1194256479
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13000441-1205 Issued in UT
Practice address
4360 Washington Blvd
Attn Credentialing
Ogden, UT 84403-1866
Phone
(801) 476-0494
Fax
(801) 479-3937
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23619 NV
Ophthalmology Physician 207W00000X 15234A WY
Ophthalmology Physician 207W00000X MED-PHYS-LIC-115061 MT
Ophthalmology Physician 207W00000X 13000441-1205 UT Primary

Addresses

Primary practice location

4360 Washington Blvd
Attn Credentialing
Ogden, UT 84403-1866

Mailing address

4360 Washington Blvd
Attn Credentialing
Ogden, UT 84403-1866
Phone (801) 476-0494

Other practice location 1

1972 W Grove Pkwy Ste 300
Pleasant Grove, UT 84062-6729
Phone (801) 476-0494

Other practice location 2

214 W 1500 S Ste 300
Bountiful, UT 84010-7408
Phone (801) 476-0494

Other practice location 3

1025 E 3300 S
Millcreek, UT 84106-2849
Phone (801) 476-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, NV, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230607001048 UT Practitioner - Ophthalmology 7012326390 Reassigns benefits to 2 organizations
I20230608001114 WY Practitioner - Ophthalmology 7012326390 Reassigns benefits to 1 organization
I20230609001461 NV Practitioner - Ophthalmology 7012326390 Reassigns benefits to 1 organization
I20230609001562 MT Practitioner - Ophthalmology 7012326390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine - Phoenix, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Retina ConsultantsGroup PAC ID 9830172618, 3 clinicians
Mt Ogden Eye Center LLCGroup PAC ID 2860474962, 19 clinicians

Practice addresses (Care Compare)

1250 Lamoille Hwy
Suite 102
Elko, NV 89801-4397
Phone (801) 264-4444

2300 Gasser Rd
Riverton, WY 82501-2204
Phone (801) 264-4444

4360 Washington Blvd
Utah Eye Centers
Ogden, UT 84403-1866
Phone (801) 476-0494

4400 S 700
Suite 200
Salt Lake City, UT 84107-3053
Phone (801) 264-4444

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-115061MTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Ogden Eye Center LLC Ophthalmology Current Accepting new patients
Mt Ogden Eye Center LLC Ophthalmology CurrentSince Feb 1, 2026 Accepting new patients
Rocky Mountain Retina Consultants Ophthalmology CurrentSince Jun 1, 2023 Accepting new patients
Cataract & Lasik Center of Utah PC Ophthalmology PastSince Sep 21, 2025 Accepting new patients
Cataract & Lasik Center of Utah PC PastSince Oct 9, 2022 Accepting new patients
Northern Utah Healthcare Corporation PastSince Jun 1, 2023 Accepting new patients

Locations

2475 Village Ln
Billings, MT 59102
Phone (406) 252-6608

1250 Lamoille Hwy
Ste 102
Elko, NV 89801
Phone (775) 753-3637

214 W 1500 S
Ste 300
Bountiful, UT 84010
Phone (801) 261-0726

1811 W Royal Hunte Dr
Cedar City, UT 84720
Phone (435) 586-1131

1025 E 3300 S
Ste B
Millcreek, UT 84106
Phone (801) 281-2020

1025 E 3300 S
Millcreek, UT 84106
Phone (801) 221-2020

4360 Washington Blvd
Ogden, UT 84403
Phone (801) 476-0494

1972 W Grove Pkwy
Ste 300
Pleasant Grove, UT 84062
Phone (801) 224-6767

4400 S 700 E
Ste 200
Salt Lake Cty, UT 84107
Phone (801) 264-4444

1791 E 280 N
St George, UT 84790
Phone (435) 628-4429

2300 Gasser Rd
Riverton, WY 82501
Phone (307) 856-4232

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: msimmons81224@direct.phhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1194256479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "address_2": "ATTN CREDENTIALING",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-409-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "address_2": "ATTN CREDENTIALING",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-479-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1972 W Grove Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840626729",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-409-9901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 W 1500 S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840107408",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-677-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 E 3300 S",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841062849",
            "country_code": "US",
            "telephone_number": "801-476-0494",
            "fax_number": "801-409-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "23619",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WY",
            "license": "15234A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MT",
            "license": "MED-PHYS-LIC-115061",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "13000441-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.