Callin Passey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5199756-9934 Issued in UT

Practice address

517 W 100 N Ste 110
Providence, UT 84332-9826

Phone

(435) 755-6075

Fax

(435) 374-0502

NPI assigned

Jul 10, 2008

Last updated

Aug 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, ID2 enrollments

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 2

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Specialties of Idaho PCGroup PAC ID 2163927526, 5 clinicians

Aeg Utah Professional IncGroup PAC ID 2062918618, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aeg Utah Professional Inc

  • Optometrist
  • Logan, UT
  • NPI 1154212777
  Medicare reassignment Care Compare group NPD
• Eyecare Specialties of Idaho PC

  • Optometrist
  • Preston, ID
  • NPI 1417848037
  Medicare reassignment Care Compare group NPD
• Bear Lake Community Health Center, Inc.

  dba Bear Lake Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Garden City, UT
  • NPI 1689754475
  Medicare reassignment NPD
• Robert E. Baldwin

  dba Baldwin Optical

  • Optometrist
  • Logan, UT
  • NPI 1356516801
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1508020363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W 100 N STE 210",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329826",
            "telephone_number": "435-755-6061",
            "fax_number": "994-836-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W 100 N STE 110",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329826",
            "telephone_number": "435-755-6075",
            "fax_number": "435-374-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSEY",
        "first_name": "CALLIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5199756-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Ogden, IHC, NASM, ISSA, UHP
• Eric Ohling, ND
• Greg Lee Olson, RBT, CNA
• Sunny Ostergar, RBT
• Parables LLC (Parables Recovery and Wellness)
• John W Payne, PT
• Ashley Noelle Paynter, ACMHC
• Paz Wellness
• Peachtree Family Medicine PC
• Peak Wellness Group LLC

• Optometrist in Providence, UT
• Providers in Providence, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.