Organization Active NPI

Esplin Eye Center LLC

  • Optometrist
  • Spanish Fork, UT
National Provider Identifier
1649245333
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56790148908 Issued in UT
Legal business name
ESPLIN EYE CENTER LLC
Practice address
59 S 400 W
Spanish Fork, UT 84660-2053
Phone
(801) 794-3937
Fax
(801) 794-9880
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
David J Esplin, ODNPI 1740255058
Title
Owner Doctor
Phone
(801) 794-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 56790148908 UT Primary

Addresses

Primary practice location

59 S 400 W
Spanish Fork, UT 84660-2053

Mailing address

59 S 400 W
PO Box 267
Spanish Fork, UT 84660-1802
Phone (801) 794-3937

Other identifiers 1

IdentifierTypeStateIssuer
528835513MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050712000536 UT Part B Supplier - Clinic/Group Practice 5597791442 Receives reassigned benefits from 4 practitioners
Practice locations: Spanish Fork, UT

National Provider Directory

National Provider Directory

Locations

59 S 400 W
Spanish Fork, UT 84660
Phone (801) 794-3937

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1649245333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 S 400 W",
            "address_2": "PO BOX 267",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601802",
            "telephone_number": "801-794-3937",
            "fax_number": "801-794-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 S 400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602053",
            "telephone_number": "801-794-3937",
            "fax_number": "801-794-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPLIN EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "ESPLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "801-794-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "56790148908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528835513",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.