Conner Steven Dewey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

14033561-9934 Issued in UT

Practice address

2178 S 900 E Ste 4
Salt Lake City, UT 84106-2388

Phone

(801) 484-2020

Fax

(801) 466-2865

NPI assigned

Jun 25, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Valley Optometric PhysiciansGroup PAC ID 1658274899, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• UT PPO

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.

• Utah Valley Optometric Physicians

  dba Drs. Caywood & Winward

  • Optometrist
  • Springville, UT
  • NPI 1760545735
  Care Compare group
• Sugarhouse Vision Clinic

  • Optometrist
  • Salt Lake City, UT
  • NPI 1912100348
  NPD

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1306680178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 S 900 E STE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062388",
            "telephone_number": "801-484-2020",
            "fax_number": "801-466-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 S 900 E STE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062388",
            "telephone_number": "801-484-2020",
            "fax_number": "801-466-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "CONNER",
        "middle_name": "STEVEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "14033561-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynne Devries, PH.D.
• Annalyn Devroom
• Graham Dewart, DPT
• Peter J Deweerd, M.D.
• Charles Kip Deweese, APRN
• Hannah Diane Dewey
• Karen Marie Dewey, DNP
• Zacaria Dewey
• Erica Dewitt
• Lucy Dana Dewitt, MD

• Optometrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.