Judy Olson Saccomanno, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3457369934 Issued in UT

Practice address

54 E 100 N
Price, UT 84501

Phone

(435) 637-2414

Fax

(435) 637-8265

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Utah Eye Clinic PCGroup PAC ID 3870509888, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jsaccomanno@seueyeclinic.eyefinitydirect.com

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.

• Southeastern Utah Eye Clinic PC

  • Optometrist
  • Price, UT
  • NPI 1477736403
  Medicare reassignment Care Compare group Authorized official
• Retina and Vitreous Surgeons of Utah, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Provo, UT
  • NPI 1518117407
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Logan, UT
  • NPI 1215038724
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Roy, UT
  • NPI 1396832655
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Salt Lake City, UT
  • NPI 1962599290
  NPD (past)
• Standard Optical Company

  • Optometrist
  • West Point, UT
  • NPI 1659958841
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508993775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 E 100 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2414",
            "fax_number": "435-637-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E 100 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2414",
            "fax_number": "435-637-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCOMANNO",
        "first_name": "JUDY",
        "middle_name": "OLSON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "3457369934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "345736993010",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royall Em LLC
• Karen Royall
• Kelly Ann Rubio, LPN
• Lindsey Rux, NP
• Ryan Hanson Au.D., P.C.
• Salt Lake City Vamc
• Leoma Sampier
• Tiffany Sanderson
• Sara Tarjan, LLC
• Nathan Adam Sauter, CSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.