Individual provider Active NPI

David J Esplin, OD

  • Optometrist
  • Spanish Fork, UT
National Provider Identifier
1740255058
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
56790148908 Issued in UT
Practice address
59 S 400 W
Spanish Fork, UT 84660-2053
Phone
(801) 794-3937
Fax
(801) 794-9880
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 56790148908 UT Primary

Addresses

Primary practice location

59 S 400 W
Spanish Fork, UT 84660-2053

Mailing address

PO Box 267
Spanish Fork, UT 84660-0267
Phone (801) 794-3937

Other identifiers 1

IdentifierTypeStateIssuer
52835513001MedicaidUT

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
I20050712000581 UT Practitioner - Optometry 9830125780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esplin Eye Center LLCGroup PAC ID 5597791442, 3 clinicians

Practice addresses (Care Compare)

59 S 400
Spanish Fork, UT 84660-2053
Phone (801) 794-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56790148908UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Esplin Eye Center LLC Optometrist CurrentSince Jul 18, 2005 Accepting new patients

Locations

24 N 100 E
Spanish Fork, UT 84660
Phone (801) 504-6421

59 S 400 W
Spanish Fork, UT 84660
Phone (801) 794-3937

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1740255058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846600267",
            "telephone_number": "801-794-3937",
            "fax_number": "801-794-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 S 400 W",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602053",
            "telephone_number": "801-794-3937",
            "fax_number": "801-794-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPLIN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "56790148908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52835513001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.