Active NPI
Jason Edward Holmes, O.D.
- Optometrist
- West Jordan, UT
National Provider Identifier
1194776005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 114312-9934
- Practice address
- 1553 W 9000 S
West Jordan, UT 84088-9219 - Phone
- (801) 561-7300
- Fax
- (801) 561-7300
- NPI assigned
- May 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 114312-9934 | UT | Primary |
Addresses
Primary practice location
1553 W 9000 S
West Jordan, UT 84088-9219
Mailing address
1553 W 9000 S
West Jordan, UT 84088-9219
Phone (801) 561-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410985054103 | Medicaid | UT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11649 S 4000
Suite 200
South Jordan, UT 84009-6048
Phone (801) 253-3080
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Vision Center Associates PLLC | Current | Accepting new patients | |
| Davis Vision Center | Past | Accepting new patients |
Locations
11649 S 4000 W
Ste 200
South Jordan, UT 84009
Phone (801) 253-3080
Networks
- UT PPO
- UT PPO D-SNP
Interoperability endpoints
- https://app.meldrx.com/api/fhir/imedicware_davisvisioncenter
Organizations & group practices 2
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
- South Jordan, UT
- NPI 1689997165
-
- Ophthalmology Physician
- South Jordan, UT
- NPI 1215947023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194776005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1553 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889219",
"telephone_number": "801-561-7300",
"fax_number": "801-561-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889219",
"telephone_number": "801-561-7300",
"fax_number": "801-561-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "JASON",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "114312-9934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410985054103",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.