Rocky Mountain Retina Consultants

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

ROCKY MOUNTAIN RETINA CONSULTANTS

Practice address

4400 S 700 E
Ste 200
Salt Lake City, UT 84107-3000

Phone

(801) 264-4444

Fax

(801) 281-2383

NPI assigned

May 27, 2005

Last updated

May 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mindy Thorne

Title

Practice Administrator

Phone

(801) 264-4444

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY, UT, MT, NV4 enrollments

Enrollment records 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Simmons, M.D.

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1194256479

  MT, NV, WY

  Medicare reassignment Care Compare group NPD
• David Wayne Faber, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Salt Lake City, UT
  • NPI 1811990450

  MT, NV, WY

  Medicare reassignment Care Compare group
• Mitchell J Goff, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Salt Lake City, UT
  • NPI 1578595153

  MT, NV, WY

  Medicare reassignment Care Compare group
• Jack Dunyon Stringham II, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Provo, UT
  • NPI 1235496357
  Medicare reassignment NPD
• Roy Allen Goodart, M.D.

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1871596411
  NPD (past)
• Douglas Stewart Mehr, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • West Jordan, UT
  • NPI 1720070899
  NPD (past)
• Saad Ahmad, MD

  • Ophthalmology Physician
  • Elmhurst, IL
  • NPI 1881613297
  NPD (past)
• Larry D Erpenbach, O.D.

  • Optometrist
  • Billings, MT
  • NPI 1801921713
  NPD (past)
• Brian A Lagreca, M.D.

  • Ophthalmology Physician
  • Billings, MT
  • NPI 1992840128
  NPD (past)
• Derek Brian Lauritzen, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Luis Obispo, CA
  • NPI 1841348166
  NPD (past)
• William R McKnight, D.C.

  • Chiropractor
  • Elko, NV
  • NPI 1629136601
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1710980354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S 700 E",
            "address_2": "STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073000",
            "telephone_number": "801-264-4444",
            "fax_number": "801-281-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S 700 E",
            "address_2": "STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073000",
            "telephone_number": "801-264-4444",
            "fax_number": "801-281-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN RETINA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "801-264-4444"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Endodontics, PLLC
• Rocky Mountain Family Practice
• Rocky Mountain Hearing & Balance LLC
• Rocky Mountain Optical
• Rocky Mountain Optical and Eye Care LLC
• Rocky Mountain Therapy Services LLC (RMTS at FirstMed Industrial)
• Rocky MTN Eye Care Associates LC
• Aylin Rachel Rodan, M.D.
• Jordan T. Rode, MD
• David Edmand Rodeback, PHD

• Retina Specialist (Ophthalmology) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Retina Specialist (Ophthalmology) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.