Active NPI
Bart Paul Hamblin, O.D.
- Optometrist
- Orem, UT
National Provider Identifier
1326001124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4773251
- Practice address
- 575 University Pkwy
Orem, UT 84097-7400 - Phone
- (801) 225-3920
- Fax
- (801) 225-1067
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4773251 | UT | Primary |
Addresses
Primary practice location
575 University Pkwy
Orem, UT 84097-7400
Mailing address
1802 N Mesa Dr
Lehi, UT 84043
Phone (801) 766-5559
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4773251 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
Locations
148 E Winchester St
Murray, UT 84107
Phone (801) 269-8804
10317 S State St
Sandy, UT 84070
Phone (801) 572-4810
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": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326001124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 N MESA DR",
"city": "LEHI",
"state": "UT",
"postal_code": "84043",
"telephone_number": "801-766-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 UNIVERSITY PKWY",
"city": "OREM",
"state": "UT",
"postal_code": "840977400",
"telephone_number": "801-225-3920",
"fax_number": "801-225-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBLIN",
"first_name": "BART",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4773251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.