Individual provider Active NPI

Gary Tremayne, O.D.

  • Optometrist
  • Riverton, UT
National Provider Identifier
1720121700
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6029479-9934 Issued in UT
Practice address
1543 W 12600 S Ste 104
Riverton, UT 84065-7176
Phone
(801) 208-0734
Fax
(801) 666-2020
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6029479-9934 UT Primary
Optometrist 152W00000X CO2478 CO

Addresses

Primary practice location

1543 W 12600 S Ste 104
Riverton, UT 84065-7176

Mailing address

1543 W 12600 S Ste 104
Riverton, UT 84065-7176
Phone (801) 208-0734

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
I20090513000435 UT Practitioner - Optometry 8224060330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1543 W 12600
Suite 104
Riverton, UT 84065-7176
Phone (801) 208-0734

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CO2478COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Tremayne, O.D. and Associates LLC Optometrist CurrentSince Apr 1, 2009 Accepting new patients

Locations

1543 W 12600 S
Ste 104
Riverton, UT 84065
Phone (801) 208-0734

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1720121700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 W 12600 S STE 104",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657176",
            "telephone_number": "801-208-0734",
            "fax_number": "801-666-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 W 12600 S STE 104",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657176",
            "telephone_number": "801-208-0734",
            "fax_number": "801-666-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMAYNE",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "6029479-9934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "CO2478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

Verify at the official NPI Registry.