Individual provider Active NPI

Albert Allan Kemp, OD

  • Optometrist
  • West Jordan, UT
National Provider Identifier
1275429920
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14227265-9934 Issued in UT
Practice address
7083 S Plaza Center Dr Ste K-2a
West Jordan, UT 84084-1762
Phone
(801) 282-6416
NPI assigned
Jun 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14227265-9934 UT Primary

Addresses

Primary practice location

7083 S Plaza Center Dr Ste K-2a
West Jordan, UT 84084-1762

Mailing address

10817 S Pine Grove Way
South Jordan, UT 84009-3995

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14227265-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc PastSince Jun 23, 2025 Accepting new patients
Luxottica of America Inc. PastSince Jun 23, 2025 Accepting new patients

Networks

  • UT PPO
  • UT PPO D-SNP

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1275429920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 S PINE GROVE WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840093995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7083 S PLAZA CENTER DR STE K-2A",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841762",
            "telephone_number": "801-282-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "ALBERT",
        "middle_name": "ALLAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "14227265-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2025; 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.