Jeffrey Western, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12888596-9934 Issued in UT

Practice address

13454 S Monarch Meadows Pkwy
Riverton, UT 84096-2562

Phone

(801) 254-7575

NPI assigned

Jun 8, 2022

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

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Vision Center LLCGroup PAC ID 3072735265, 2 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 and National Provider Directory roles.

• Cornerstone Vision Center LLC

  • Optometrist
  • Riverton, UT
  • NPI 1760818850
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1619606340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9387 S KOCH DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954688",
            "telephone_number": "801-358-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13454 S MONARCH MEADOWS PKWY",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840962562",
            "telephone_number": "801-254-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "12888596-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle D Wellman, OT
• Boyd David Welton, DDS
• Rayleigh Wendel
• Sadie M West, M.D.
• Western Gynecological and Obstetrical Clinic, Inc.
• Katherine Douglas Westmoreland, M.D.
• David L Wetzel, RPT
• Jonathan Taylor Whitaker, D.O.
• Bethanie Rosella White, M.D.
• Lisa Roberts White, PT

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

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