Individual provider Active NPI

Kaeleen Franson, O.D.

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1780063784
Registry record updated Jul 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
94156339934 Issued in UT
Practice address
250 S 300 E
Salt Lake City, UT 84111-2502
Phone
(801) 322-0467
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 94156339934 UT Primary

Addresses

Primary practice location

250 S 300 E
Salt Lake City, UT 84111-2502

Mailing address

250 E 300 S
Salt Lake City, UT 84111-2418
Phone (801) 322-0467

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
I20200826001533 UT Practitioner - Optometry 4789001470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berner Eye Clinic IncGroup PAC ID 9537145875, 5 clinicians

Practice addresses (Care Compare)

250 E Broadway
Suite 110
Salt Lake City, UT 84111-2544

250 E Broadway
Suite 380
Salt Lake City, UT 84111-2428
Phone (801) 322-0467

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
94156339934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berner Eye Clinic, Inc Optometrist CurrentSince Aug 17, 2020 Accepting new patients

Locations

250 E Broadway
Ste 110
Salt Lake City, UT 84111
Phone (801) 322-0467

250 E Broadway
Salt Lake Cty, UT 84111
Phone (801) 322-0467

250 E Broadway
Ste 380
Slc, UT 84111
Phone (801) 322-0467

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1780063784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112418",
            "telephone_number": "801-322-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112502",
            "telephone_number": "801-322-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANSON",
        "first_name": "KAELEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "94156339934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.