Individual provider Active NPI

Mark Curtis, O.D.

  • Optometrist
  • Pleasant Grove, UT
National Provider Identifier
1487921276
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9415836-9934 Issued in UT
Practice address
908 N 2000 W
Pleasant Grove, UT 84062
Phone
(801) 492-6393
NPI assigned
Nov 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9415836-9934 UT Primary
Pediatric Optometrist 152WP0200X 9415836-9934 UT
Vision Therapy Optometrist 152WV0400X 9415836-9934 UT

Addresses

Primary practice location

908 N 2000 W
Pleasant Grove, UT 84062

Mailing address

4768 N Woodberry Dr
Lehi, UT 84043-4051
Phone (662) 420-1242

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
I20200730001981 UT Practitioner - Optometry 7618391566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

908 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 492-6393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9415836-9934UTMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Eyecare Center, LLC Optometrist CurrentSince Jul 14, 2020 Accepting new patients
Achieve Vision Therapy Center Vision Therapy CurrentSince Sep 23, 2021 Accepting new patients

Locations

908 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 492-6393

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1487921276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 N WOODBERRY DR",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434051",
            "telephone_number": "662-420-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N 2000 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "84062",
            "telephone_number": "801-492-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "MARK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9415836-9934",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "UT",
            "license": "9415836-9934",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "UT",
            "license": "9415836-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.