Active NPI
Brittany N. Capstick, O.D.
- Optometrist
- South Jordan, UT
National Provider Identifier
1326373408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8273555-8908
- Practice address
- 489 W South Jordan Parkway
Suite 302
South Jordan, UT 84095 - Phone
- (385) 222-2020
- NPI assigned
- Oct 7, 2009
- Last updated
- Feb 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14269 | CA | |
| Optometrist | 152W00000X | 8273555-8908 | UT | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 14269 | CA |
Addresses
Primary practice location
489 W South Jordan Parkway
Suite 302
South Jordan, UT 84095
Mailing address
7456 S Parkridge Cir
Cottonwood Heights, UT 84121-4834
Phone (612) 308-0679
Other practice location 1
10835 S 700 E
Sandy, UT 84070-4702
Phone (801) 495-2020
Other practice location 2
7001 S 900 E Ste 200
Midvale, UT 84047
Phone (612) 308-0679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U000076546 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8273555-8908 | UT | MD | Optometrist |
| 14269 | CA | MD | General Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California at Berkeley | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Midvale, UT
- NPI 1790348449
-
- Optometrist
- Berkeley, CA
- NPI 1306908058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1326373408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7456 S PARKRIDGE CIR",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841214834",
"telephone_number": "612-308-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 W SOUTH JORDAN PARKWAY",
"address_2": "SUITE 302",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "84095",
"telephone_number": "385-222-2020"
}
],
"practiceLocations": [
{
"address_1": "10835 S 700 E",
"address_purpose": "LOCATION",
"city": "Sandy",
"state": "UT",
"postal_code": "840704702",
"country_code": "US",
"telephone_number": "801-495-2020",
"fax_number": "801-984-5665",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7001 S 900 E Ste 200",
"address_purpose": "LOCATION",
"city": "Midvale",
"state": "UT",
"postal_code": "84047",
"country_code": "US",
"telephone_number": "612-308-0679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAPSTICK",
"first_name": "BRITTANY",
"middle_name": "N.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2021-02-19",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14269",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "8273555-8908",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "14269",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "U000076546",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.