Active NPI
Adam L Lewis, DO
- Ophthalmology Physician
- Pleasant Grove, UT
National Provider Identifier
1720737679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 14284164-1204
- Practice address
- 1972 W Grove Pkwy Ste 300
Pleasant Grove, UT 84062-6729 - Phone
- (801) 476-0494
- Fax
- (801) 221-1052
- NPI assigned
- Mar 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 14284164-1204 | UT | Primary |
Addresses
Primary practice location
1972 W Grove Pkwy Ste 300
Pleasant Grove, UT 84062-6729
Mailing address
1972 W Grove Pkwy Ste 300
Pleasant Grove, UT 84062-6729
Phone (801) 224-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720001515 | MO | Order and Referring Only - Ophthalmology | 9133500275 |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Kansas City University of Physicians and Surgeons, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4360 Washington Blvd
Ogden, UT 84403-1866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000-00 | UT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1720737679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1972 W GROVE PKWY STE 300",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840626729",
"telephone_number": "801-224-6767",
"fax_number": "801-221-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 W GROVE PKWY STE 300",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840626729",
"telephone_number": "801-476-0494",
"fax_number": "801-221-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ADAM",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-19",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "UT",
"license": "14284164-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Grove, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.