Individual provider Active NPI

Ian Garrett Whipple, O.D.

  • Optometrist
  • Farr West, UT
National Provider Identifier
1487940466
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8242588-8908 Issued in UT
Practice address
1741 N 2000 W
Farr West, UT 84404-9810
Phone
(801) 731-5558
Fax
(801) 731-3143
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8242588-8908 UT Primary

Addresses

Primary practice location

1741 N 2000 W
Farr West, UT 84404-9810

Mailing address

1741 N 2000 W
Farr West, UT 84404-9810
Phone (801) 731-5558

Other practice location 1

5331 Adams Ave Pkwy Ste B
Ogden, UT 84405-4755
Phone (801) 479-7850

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
I20120515000434 UT Practitioner - Optometry 4082883509 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8242588-8908UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Whipple Eyecare PC Optometrist CurrentSince Feb 2, 2013 Accepting new patients
Vision Source of South Ogden Optometrist CurrentSince Aug 11, 2022 Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Company Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients

Locations

1741 N 2000 W
Farr West, UT 84404
Phone (801) 731-3200

1761 N 2000 W
Ogden, UT 84404
Phone (801) 731-4850

1741 N 2000 W
Ste 7
Ogden, UT 84404
Phone (801) 731-5558

5331 Adams Avenue Pkwy
Ste B
Washington Terrace, UT 84405
Phone (801) 479-7850

Organizations & group practices 10

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1487940466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 N 2000 W",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049810",
            "telephone_number": "801-731-5558",
            "fax_number": "801-731-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 N 2000 W",
            "city": "FARR WEST",
            "state": "UT",
            "postal_code": "844049810",
            "telephone_number": "801-731-5558",
            "fax_number": "801-731-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5331 Adams Ave Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844054755",
            "country_code": "US",
            "telephone_number": "801-479-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "IAN",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "8242588-8908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farr West, UT

Sources for this page

Verify at the official NPI Registry.