Individual provider Active NPI

Stella Yi Chou, MD

  • Ophthalmology Physician
  • Sandy, UT
National Provider Identifier
1649450628
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
325931-1205 Issued in UT
Practice address
8789 S Highland Dr
Ste 100
Sandy, UT 84093-1600
Phone
(801) 943-4999
Fax
(801) 943-3876
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 325931-1205 UT Primary

Addresses

Primary practice location

8789 S Highland Dr
Ste 100
Sandy, UT 84093-1600

Mailing address

8789 S Highland Dr
Ste 100
Sandy, UT 84093-1600
Phone (801) 943-4999

Other identifiers 2

IdentifierTypeStateIssuer
D2940OtherUTMEDICAID LICENSE NUMBER
1649450628MedicaidUT

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000407 UT Practitioner - Ophthalmology 1355449307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8789 S Highland Dr
Suite 100
Sandy, UT 84093-1602
Phone (801) 943-4999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
325931-1205UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avec Eye Center LLC Ophthalmology CurrentSince Mar 23, 2009 Accepting new patients

Locations

8789 S Highland Dr
Ste 100
Sandy, UT 84093
Phone (801) 943-4999

Organizations & group practices 1

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1649450628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8789 S HIGHLAND DR",
            "address_2": "STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931600",
            "telephone_number": "801-943-4999",
            "fax_number": "801-943-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8789 S HIGHLAND DR",
            "address_2": "STE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931600",
            "telephone_number": "801-943-4999",
            "fax_number": "801-943-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOU",
        "first_name": "STELLA",
        "middle_name": "YI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "325931-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LICENSE NUMBER",
            "identifier": "D2940",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649450628",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.