Utah Oculoplastic Consultants, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7928404-1205 Issued in UT

Legal business name

UTAH OCULOPLASTIC CONSULTANTS, P.C.

Practice address

4400 S 700 E
Suite 130
Salt Lake City, UT 84107-3053

Phone

(801) 264-4420

Fax

(801) 266-0604

NPI assigned

Sep 20, 2011

Organization subpart

No

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

Authorized official

Name

Matheson Adams HarrisNPI 1912110230

Title

President

Phone

(801) 264-4420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Matheson Adams Harris, M.D.

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1912110230
  Medicare reassignment Care Compare group Authorized official
• Douglas P Marx, MD

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1013177682
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1669755286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 130",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073396",
            "telephone_number": "801-264-4420",
            "fax_number": "801-266-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S 700 E",
            "address_2": "SUITE 130",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073053",
            "telephone_number": "801-264-4420",
            "fax_number": "801-266-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH OCULOPLASTIC CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MATHESON",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-264-4420"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "7928404-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.