Jeffrey Lynn Prince, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13472985-9934 Issued in UT

Practice address

599 S. Mall Dr Space K1
Saint George, UT 84790

Phone

(435) 359-2020

Fax

(435) 215-4465

NPI assigned

Aug 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smith Optometry LLCGroup PAC ID 3476812280, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Smith Optometry LLC

  • Optometrist
  • St George, UT
  • NPI 1669995445
  Medicare reassignment Care Compare group NPD
• Smith Eye LLC

  dba Desert Eye Clinic

  • Optometrist
  • St George, UT
  • NPI 1437862505
  Medicare reassignment NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1699457234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 S. MALL DR SPACE K1",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-359-2020",
            "fax_number": "435-215-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 S. MALL DR SPACE K1",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-359-2020",
            "fax_number": "435-215-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "13472985-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Kathleen Price, M.ED., CCC-SLP
• Terry Brent Price, PH. D.
• Prickly Pear Pediatric Therapy, LLC
• Ashton A. Prince, DMD
• Edward J Prince, M.D
• Robert William Prince, DDS
• Sarah Ann Prince, CMHC
• Zachary Prince
• David Prior, LMFT
• Priority Counseling LLC

• Optometrist in St George, UT
• Providers in St George, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.