Individual provider Active NPI

Cole Rayfield

  • Optometrist
  • Logan, UT
National Provider Identifier
1548020787
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14014070-9934 Issued in UT
Practice address
124 N Main St
Logan, UT 84321-4526
Phone
(435) 512-8758
NPI assigned
Mar 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 14014070-9934 UT Primary

Addresses

Primary practice location

124 N Main St
Logan, UT 84321-4526

Mailing address

124 N Main St
Logan, UT 84321-4526

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
I20240731001853 UT Practitioner - Optometry 9739626490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seeholzer Vision Center, IncGroup PAC ID 7315070174, 2 clinicians

Practice addresses (Care Compare)

124 N Main St
Logan, UT 84321-4526
Phone (435) 752-5334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14014070-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Seeholzer Vision Center, Inc CurrentSince Jul 1, 2024 Accepting new patients
Rayfield Vision LLC Optometrist Current Accepting new patients

Locations

124 N Main St
Logan, UT 84321
Phone (435) 512-8758

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": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1548020787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214526",
            "telephone_number": "435-512-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYFIELD",
        "first_name": "COLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "14014070-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

Verify at the official NPI Registry.