Individual provider Active NPI

Brittany N. Capstick, O.D.

  • Optometrist
  • South Jordan, UT
National Provider Identifier
1326373408
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8273555-8908 Issued in UT
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U000076546OtherMEDICARE 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8273555-8908UTMDOptometrist
14269CAMDGeneral Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California at Berkeley Optometrist PastSince Jun 7, 1991 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.

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

Verify at the official NPI Registry.