Individual provider Active NPI

Garret Bringhurst, OD

  • Optometrist
  • Provo, UT
National Provider Identifier
1699341826
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12324758-9934 Issued in UT
Practice address
1055 N 300 W Ste 204
Provo, UT 84604-3374
Phone
(801) 357-7373
Fax
(801) 357-7217
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12324758-9934 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 204
Provo, UT 84604-3374

Mailing address

10368 N 6960 W
Highland, UT 84003-9336
Phone (801) 885-1224

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001407 UT Practitioner - Optometry 8628471992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Valley Eye Center IncGroup PAC ID 7810167392, 11 clinicians

Practice addresses (Care Compare)

1055 N 300 W
Suite 204
Provo, UT 84604-3374
Phone (801) 357-7373

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
92.42
Promoting interoperability
100
Improvement activities
40
Cost
73.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Valley Eye Center Inc Optometrist CurrentSince Apr 13, 2021 Accepting new patients

Locations

1055 N 300 W
Ste 204
Provo, UT 84604
Phone (801) 357-7373

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1699341826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10368 N 6960 W",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039336",
            "telephone_number": "801-885-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 204",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043374",
            "telephone_number": "801-357-7373",
            "fax_number": "801-357-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINGHURST",
        "first_name": "GARRET",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "12324758-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.