Greg M. Pickett, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3087349934 Issued in UT

Practice address

1196 30TH St
Ogden, UT 84403-0353

Phone

(801) 399-9873

Fax

(801) 399-2013

NPI assigned

Dec 21, 2005

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

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

University of Houston - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Optical Associates Inc

  • Optometrist
  • Ogden, UT
  • NPI 1912183948
  Medicare reassignment Authorized official
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Bountiful, UT
  • NPI 1174404024
  Medicare reassignment NPD
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Ogden, UT
  • NPI 1942151998
  NPD

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1639155617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 30TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844030353",
            "telephone_number": "801-399-9873",
            "fax_number": "801-399-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 30TH ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844030353",
            "telephone_number": "801-399-9873",
            "fax_number": "801-399-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "GREG",
        "middle_name": "M.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "3087349934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Barratt Phillips, LCMHC
• Krystle Phillips
• S Douglas Phillips, MD
• Terry Lynn Phillips, NP
• Phoenix Mental Health Services
• Dee Justin Pierce, PHARMD
• Joanna Janeen Pierce, CM
• Megan S. Pierce, MD
• Nathan Pierce
• Sydney C Piercey, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.