Active NPI
Michael Wayne Cole, O.D.
- Optometrist
- Logan, UT
National Provider Identifier
1689970667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9413616-8908
- Practice address
- 981 S Main St Ste 220
Logan, UT 84321-6055 - Phone
- (435) 363-2980
- Fax
- (435) 514-0075
- NPI assigned
- Feb 8, 2011
- Last updated
- Sep 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9413616-8908 | UT | Primary |
Addresses
Primary practice location
981 S Main St Ste 220
Logan, UT 84321-6055
Mailing address
981 S Main St Ste 220
Logan, UT 84321-6055
Phone (435) 363-2980
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
981 S Main St
Suite 220
Logan, UT 84321-6055
Phone (435) 363-2980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9413616-8908 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Eye Care Center | Current | Accepting new patients | |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
Locations
981 S Main St
Ste 220
Logan, UT 84321
Phone (435) 363-2980
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Holladay, UT
- NPI 1043311582
-
- Optometrist
- Roy, UT
- NPI 1396832655
-
- Optometrist
- Tooele, UT
- NPI 1477654846
-
- Optometrist
- Murray, UT
- NPI 1508967977
-
- Optometrist
- Taylorsville, UT
- NPI 1689775041
-
- Optometrist
- Layton, UT
- NPI 1760583298
-
- Optometrist
- Provo, UT
- NPI 1891882155
-
- Optometrist
- Salt Lake City, UT
- NPI 1962599290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1689970667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 S MAIN ST STE 220",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216055",
"telephone_number": "435-363-2980",
"fax_number": "435-514-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 S MAIN ST STE 220",
"city": "LOGAN",
"state": "UT",
"postal_code": "843216055",
"telephone_number": "435-363-2980",
"fax_number": "435-514-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-08",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "9413616-8908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.