Adam Jeffrey Lofgran, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

73705719934 Issued in UT

Practice address

749 S River Rd
St George, UT 84790

Phone

(435) 628-4464

Fax

(435) 628-5015

NPI assigned

Jul 7, 2009

Sex

Male

Sole proprietor

Yes

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, CA2 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

Pacific University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarus Consultants LLCGroup PAC ID 0840337465, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.adamlofgran@direct.revolutionehr.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.

• Clarus Consultants LLC

  • Optometrist
  • St George, UT
  • NPI 1639404304
  Medicare reassignment Care Compare group NPD Authorized official
• Green Valley Optometry

  • Optometrist
  • Watsonville, CA
  • NPI 1225505878

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Highland Optometrics

  • Optometrist
  • Highland, CA
  • NPI 1578031597

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Dr Sylvia K Lee, OD, PHD

  • Optometrist
  • Watsonville, CA
  • NPI 1972549442
  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1528297900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 S RIVER RD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905509",
            "telephone_number": "435-628-4464",
            "fax_number": "435-628-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 S RIVER RD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-628-4464",
            "fax_number": "435-628-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFGRAN",
        "first_name": "ADAM",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "73705719934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Liwag
• LLHC St. George LLC
• Benjamin Todd Lloyd, DDS
• Teresa Lea Lloyd, CPCI
• Battista Trevor Locatelli
• Amelia Long
• Katie Long
• Sophie Longson
• Loose Cannon Social Work, LLC.
• Loose Cannon Social Work, LLC.

• All providers in St George, UT
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.