Active NPI
Michael Simmons, M.D.
- Ophthalmology Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13000441-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- St Mark'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-115061 | MT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Ogden Eye Center LLC | Ophthalmology | Current | Accepting new patients |
| Mt Ogden Eye Center LLC | Ophthalmology | Current | Accepting new patients |
| Rocky Mountain Retina Consultants | Ophthalmology | Current | Accepting new patients |
| Cataract & Lasik Center of Utah PC | Ophthalmology | Past | Accepting new patients |
| Cataract & Lasik Center of Utah PC | Past | Accepting new patients | |
| Northern Utah Healthcare Corporation | Past | 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
- 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.
-
- Ophthalmology Physician
- Ogden, UT
- NPI 1700927043
-
- Retina Specialist (Ophthalmology) Physician
- Salt Lake City, UT
- NPI 1710980354
MT, NV, WY
-
- Ophthalmology Physician
- Bountiful, UT
- NPI 1740431428
-
- Ambulatory Surgical Clinic/Center
- Pleasant Grove, UT
- NPI 1164613790
-
- Ophthalmology Physician
- Pleasant Grove, UT
- NPI 1447378302
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.