Individual provider Active NPI

Carrie Ann Palmer, O.D.

  • Optometrist
  • Ogden, UT
National Provider Identifier
1265484620
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4786262-9934 Issued in UT
Practice address
1018 Washington Blvd
Ogden, UT 84404-4949
Phone
(801) 392-5100
Fax
(801) 392-5100
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 4786262-9934 UT Primary

Addresses

Primary practice location

1018 Washington Blvd
Ogden, UT 84404-4949

Mailing address

1018 Washington Blvd
Ogden, UT 84404-4949
Phone (801) 392-5100

Other identifiers 1

IdentifierTypeStateIssuer
410985054121MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060626000073 UT Practitioner - Optometry 7911919535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of Ogden PCGroup PAC ID 4082866827, 4 clinicians

Practice addresses (Care Compare)

1055 N Washington Blvd
Ogden, UT 84404-3605
Phone (801) 394-5709

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4786262-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Ogden PC Optometrist CurrentSince Apr 15, 2019 Accepting new patients
Rich H. Humpherys, O.D. Optometrist PastSince Apr 15, 2019 Accepting new patients

Locations

1055 N Washington Blvd
Ogden, UT 84404
Phone (801) 394-5709

Networks

  • UT PPO D-SNP
  • UT PPO

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265484620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044949",
            "telephone_number": "801-392-5100",
            "fax_number": "801-392-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844044949",
            "telephone_number": "801-392-5100",
            "fax_number": "801-392-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "4786262-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410985054121",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.