Active NPI
Lincoln Dygert, O.D.
- Optometrist
- Ogden, UT
National Provider Identifier
1336175298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3624569934
- Practice address
- 3475 Harrison Blvd
Ogden, UT 84403-1230 - Phone
- (801) 394-8885
- NPI assigned
- Jun 23, 2006
- Last updated
- May 7, 2012
- 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 | 3624569934 | UT | Primary |
Addresses
Primary practice location
3475 Harrison Blvd
Ogden, UT 84403-1230
Mailing address
3475 Harrison Blvd
Ogden, UT 84403-1230
Phone (801) 394-8885
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3475 Harrison Blvd
Ogden, UT 84403-1230
Phone (801) 394-8885
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3624569934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Vision Center PLLC | Optometrist | Current | Accepting new patients |
Locations
3475 Harrison Blvd
Ogden, UT 84403
Phone (801) 394-8885
Networks
- UT PPO
Interoperability endpoints
- ldygert@direct.revolutionehr.com
Organizations & group practices 1
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": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1336175298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031230",
"telephone_number": "801-394-8885",
"fax_number": "801-394-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844031230",
"telephone_number": "801-394-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYGERT",
"first_name": "LINCOLN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "3624569934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.