Individual provider Active NPI

Nolan Jepsen, O.D.

  • Optometrist
  • Layton, UT
National Provider Identifier
1437129681
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
98362600 Issued in UT
Practice address
1580 W Antelope Dr
Suite 1580
Layton, UT 84041-1160
Phone
(801) 773-2233
Fax
(801) 773-2375
NPI assigned
Jan 23, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 98362600 UT Primary

Addresses

Primary practice location

1580 W Antelope Dr
Suite 1580
Layton, UT 84041-1160

Mailing address

1580 W Antelope Dr
Suite 1580
Layton, UT 84041-1160
Phone (801) 773-2233

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000475 UT Practitioner - Optometry 1951568542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1580 W Antelope Dr
Suite 175
Layton, UT 84041-1175
Phone 80177322331011

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98362600UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Eye Center Professional Corporation Optometrist CurrentSince Nov 1, 1998 Accepting new patients
Mountain View Eye Center Professional Corporation CurrentSince Nov 1, 1998 Accepting new patients

Locations

1580 W Antelope Dr
Ste 175
Layton, UT 84041
Phone (801) 773-2233

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1437129681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR",
            "address_2": "SUITE 1580",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-773-2233",
            "fax_number": "801-773-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 W ANTELOPE DR",
            "address_2": "SUITE 1580",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411160",
            "telephone_number": "801-773-2233",
            "fax_number": "801-773-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "NOLAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "98362600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.