Active NPI
Shawn Page Murray, O.D.
- Optometrist
- Bountiful, UT
National Provider Identifier
1437199544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4769112-9934
- Practice address
- 190 S 500 W
Bountiful, UT 84010-8729 - Phone
- (801) 295-9200
- Fax
- (801) 292-9390
- NPI assigned
- Jun 7, 2006
- 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 | 4769112-9934 | UT | Primary |
Addresses
Primary practice location
190 S 500 W
Bountiful, UT 84010-8729
Mailing address
190 S 500 W
Bountiful, UT 84010-8729
Phone (801) 295-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410985054229 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4769112-9934 | UT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1437199544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 S 500 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108729",
"telephone_number": "801-295-9200",
"fax_number": "801-292-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 S 500 W",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840108729",
"telephone_number": "801-295-9200",
"fax_number": "801-292-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "SHAWN",
"middle_name": "PAGE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4769112-9934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410985054229",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.