Individual provider Active NPI

Scott Allen

  • Optometrist
  • Wendover, UT
National Provider Identifier
1255442885
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6257946-9934 Issued in UT
Practice address
393 Aria Blvd
Wendover, UT 84083-4550
Phone
(435) 665-7923
NPI assigned
Aug 31, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6257946-9934 UT Primary

Addresses

Primary practice location

393 Aria Blvd
Wendover, UT 84083-4550

Mailing address

PO Box 1454
Wendover, UT 84083-1454
Phone (435) 665-7923

Other practice location 1

307 N 300 W
Suite 302
Kaysville, UT 84037-1852
Phone (801) 444-9977

Other practice location 2

307 N 300 W
Suite 302
Kaysville, UT 84037-1852
Phone (801) 444-9977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Site of Utah Inc Optometrist PastSince Sep 25, 2006 Accepting new patients
Eye Site of Farmington, LLC Optometrist PastSince Jan 1, 2011 Accepting new patients

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1255442885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1454",
            "city": "WENDOVER",
            "state": "UT",
            "postal_code": "840831454",
            "telephone_number": "435-665-7923",
            "fax_number": "435-665-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 ARIA BLVD",
            "city": "WENDOVER",
            "state": "UT",
            "postal_code": "840834550",
            "telephone_number": "435-665-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 N 300 W",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840371852",
            "country_code": "US",
            "telephone_number": "801-444-9977",
            "fax_number": "801-444-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 N 300 W",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840371852",
            "country_code": "US",
            "telephone_number": "801-444-9977",
            "fax_number": "801-444-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "6257946-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendover, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.