Individual provider Active NPI

Michael Sperry Hope, OD

  • Optometrist
  • South Jordan, UT
National Provider Identifier
1295429413
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13440227-9934 Issued in UT
Practice address
10654 S River Heights Dr Ste 110
South Jordan, UT 84095-5523
Phone
(801) 676-2020
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13440227-9934 UT Primary

Addresses

Primary practice location

10654 S River Heights Dr Ste 110
South Jordan, UT 84095-5523

Mailing address

13239 S Dominica LN Unit 304
Herriman, UT 84096-1472
Phone (801) 712-9478

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
I20230705001083 UT Practitioner - Optometry 6103285481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Eye Care, LLCGroup PAC ID 5799718912, 3 clinicians

Practice addresses (Care Compare)

10654 S River Heights Dr
Suite 110
South Jordan, UT 84095-5523
Phone (801) 676-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13440227-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Eye Care, LLC Optometrist CurrentSince Jun 7, 2023 Accepting new patients

Locations

10654 S River Heights Dr
Ste 110
South Jordan, UT 84095
Phone (801) 676-2020

Networks

  • UT PPO

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1295429413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13239 S DOMINICA LN UNIT 304",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840961472",
            "telephone_number": "801-712-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10654 S RIVER HEIGHTS DR STE 110",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955523",
            "telephone_number": "801-676-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPE",
        "first_name": "MICHAEL",
        "middle_name": "SPERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "13440227-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.