Trevin Richard Wallin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301083517 Issued in MI

Practice address

2255 N. 1700 W.
#100
Layton, UT 84041-1140

Phone

(801) 773-0690

Fax

(801) 773-0697

NPI assigned

Feb 7, 2007

Last updated

Dec 15, 2020By the provider in NPPES

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

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

University of Utah School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Eye Specialists PCGroup PAC ID 5890785026, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital-Davis Hospital, Layton, UT, CCN 460041

Merit-based Incentive Payment System (MIPS)

Final score

92.35 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.51

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Insight Eye Specialists PC

  • Ophthalmology Physician
  • Layton, UT
  • NPI 1346232196
  Medicare reassignment Care Compare group NPD
• Insight Eye Specialists PC

  dba Insight Optical

  • Eyewear Supplier
  • Layton, UT
  • NPI 1760544852

  Ophthalmology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Davis

  • General Acute Care Hospital
  • Layton, UT
  • NPI 1346945839
  Care Compare affiliation

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1396885422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N. 1700 W.",
            "address_2": "#100",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411140",
            "telephone_number": "801-773-0690",
            "fax_number": "801-773-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N. 1700 W.",
            "address_2": "#100",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411140",
            "telephone_number": "801-773-0690",
            "fax_number": "801-773-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIN",
        "first_name": "TREVIN",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301083517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "twallin@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Insight Eye Specialists PC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2255 N. 1700 W.",
            "address_2": "#100",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840411140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wendy Walkowiak
• Brent Wall, DO
• Marisa Wall
• Peggy Lynn Wallace, APRN
• Richard K Wallin, MD
• Walmart Inc.
• Walmart Inc.
• Donna P Walters, LCSW
• Sheryl Walton
• Tiffany Walton

• Ophthalmology Physician in Layton, UT
• Providers in Layton, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.