Organization Active NPI

Cedar Ophthalmic Associates PLLC

  • Ophthalmology Physician
  • Cedar City, UT
National Provider Identifier
1467964924
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CEDAR OPHTHALMIC ASSOCIATES PLLC
Practice address
1811 W Royal Hunte Dr Ste 1
Cedar City, UT 84720-8174
Phone
(435) 586-1131
Fax
(435) 865-1121
NPI assigned
Oct 24, 2017
Last updated
Jun 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Mrs. Stacy Lasson
Title
Office Manager
Phone
(435) 586-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1811 W Royal Hunte Dr Ste 1
Cedar City, UT 84720-8174

Mailing address

1811 W Royal Hunte Dr Ste 1
Cedar City, UT 84720-8174
Phone (435) 586-1131

Other identifiers 2

IdentifierTypeStateIssuer
519861128011MedicaidUT
52804678808MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170929001275 UT Part B Supplier - Clinic/Group Practice 0840565909 Receives reassigned benefits from 5 practitioners
Practice locations: Cedar City, UT
O20180703000826 UT DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 0840565909 Practice locations: Cedar City, UT

National Provider Directory

National Provider Directory

Locations

1811 W Royal Hunte Dr
Ste 1
Cedar City, UT 84720
Phone (435) 586-1131

Interoperability endpoints

  • Direct secure messaging: colson@mei-ut.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1467964924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W ROYAL HUNTE DR STE 1",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847208174",
            "telephone_number": "435-586-1131",
            "fax_number": "435-865-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W ROYAL HUNTE DR STE 1",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847208174",
            "telephone_number": "435-586-1131",
            "fax_number": "435-865-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR OPHTHALMIC ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-586-1131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519861128011",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52804678808",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.