Michael Merlin Judkins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

375535-9934 Issued in UT

Practice address

5331 Adams Ave Pkwy
Suite B
South Ogden, UT 84405-4753

Phone

(801) 479-7850

NPI assigned

Jul 18, 2005

Last updated

May 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Pacific University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain West Eyecare IncGroup PAC ID 3779515747, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain West Eyecare Inc

  • Optometrist
  • West Valley City, UT
  • NPI 1174708663
  Medicare reassignment Care Compare group NPD
• Promontory Vision Partners

  dba Clinton Family Vision

  • Optometrist
  • Clinton, UT
  • NPI 1013187822
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Roy, UT
  • NPI 1396832655
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Salt Lake City, UT
  • NPI 1962599290
  NPD (past)
• Standard Optical Company

  • Optometrist
  • West Point, UT
  • NPI 1659958841
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1699774026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 ADAMS AVE PKWY",
            "address_2": "SUITE B",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054753",
            "telephone_number": "801-479-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 ADAMS AVE PKWY",
            "address_2": "SUITE B",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844054753",
            "telephone_number": "801-479-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "MICHAEL",
        "middle_name": "MERLIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375535-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Johansson, MD
• Lacy Mae Johnson, MASSAGE THERAPIST
• Thomas C Johnston, DDS
• Aubrey Jones, RBT
• Brandon Jones
• Miranda R Kamalu, RBT
• Julie Karlinsey
• Matthew Kavoukas, RBT
• Randi Kendell, LMT
• McKenzie Carter Kennington

• Optometrist in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.