Individual provider Active NPI

Rich H Humpherys, O.D.

  • Optometrist
  • Ogden, UT
National Provider Identifier
1275569444
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
111347-8908 Issued in UT
Practice address
1055 N Washington Blvd
Ogden, UT 84404-3605
Phone
(801) 394-5709
Fax
(801) 394-5710
NPI assigned
Jun 23, 2006
Sex
Male
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 111347-8908 UT Primary

Addresses

Primary practice location

1055 N Washington Blvd
Ogden, UT 84404-3605

Mailing address

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

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
I20031219000091 UT Practitioner - Optometry 8022915701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111347-8908UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Ogden PC Optometrist CurrentSince Nov 15, 2012 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275569444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043605",
            "telephone_number": "801-394-5709",
            "fax_number": "801-394-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043605",
            "telephone_number": "801-394-5709",
            "fax_number": "801-394-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHERYS",
        "first_name": "RICH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "111347-8908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.