John Hawes Ackerson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4764729-9934 Issued in UT

Practice address

736 W 100 S
Suite #2
Heber City, UT 84032-3739

Phone

(435) 657-1212

Fax

(435) 657-9522

NPI assigned

Jul 17, 2006

Last updated

Mar 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ackerson Eyecare Inc.

  • Optometrist
  • Heber City, UT
  • NPI 1710183850
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1295753465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W 100 S",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323739",
            "telephone_number": "435-657-1212",
            "fax_number": "435-657-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W 100 S",
            "address_2": "SUITE #2",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323739",
            "telephone_number": "435-657-1212",
            "fax_number": "435-657-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERSON",
        "first_name": "JOHN",
        "middle_name": "HAWES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "4764729-9934",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "UT",
            "license": "4764729-8904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5280",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 5 Minute Clinic
• Artem Abakumov, DC
• Ackerson Eyecare Inc.
• Eve Ahrens
• Alan W Bluth RPT Inc (FYZICAL Heber Valley)
• Michele Alegre, SLP-CCC
• Erin Allen, NP
• Alliance Clinical Services, LLP

• Optometrist in Heber City, UT
• Providers in Heber City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.