Active NPI
William Carlan Reese, OD
- Corneal and Contact Management Optometrist
- Orem, UT
National Provider Identifier
1790757110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 348323-8904
- Practice address
- 1455 S State St
Orem, UT 84097-7748 - Phone
- (801) 226-3044
- Fax
- (801) 802-7326
- NPI assigned
- Feb 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 348323-8904 | UT | Primary |
| Pediatric Optometrist | 152WP0200X | 348323-9934 | UT | |
| Sports Vision Optometrist | 152WS0006X | 348323-9934 | UT |
Addresses
Primary practice location
1455 S State St
Orem, UT 84097-7748
Mailing address
1901 W Parkway Blvd
Salt Lake City, UT 84119
Phone (801) 886-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87017934014001 | Other | UT | BLUE CROSS/BLUE SHIELD |
| 999000797009 | Medicaid | UT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1528 N Commerce Dr
Suite 102
Saratoga Springs, UT 84045-4032
Phone (801) 768-1900
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 348323-8904 | UT | MD | Corneal and Contact Management Optometrist |
| 348323-9934 | UT | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reese and Weaver, Ods LLC | Current | Accepting new patients | |
| Reese & Weaver DDS LLC | Past | Accepting new patients | |
| Standard Optical Company | Past | Accepting new patients | |
| Standard Optical Co | Past | Accepting new patients |
Locations
3435 N Center St
#1
Lehi, UT 84043
Phone (801) 756-7150
1528 N Commerce Dr
Ste 102
Saratoga Springs, UT 84045
Phone (801) 768-1900
307 N Geneva Rd
Ste 101
Vineyard, UT 84059
Organizations & group practices 4
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.
-
- Optometrist
- Saratoga Springs, UT
- NPI 1851468953
-
- Optometrist
- Highland, UT
- NPI 1356778252
-
- Optometrist
- Murray, UT
- NPI 1508967977
-
- Optometrist
- West Point, UT
- NPI 1659958841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1790757110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W PARKWAY BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84119",
"telephone_number": "801-886-2020",
"fax_number": "801-954-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 S STATE ST",
"city": "OREM",
"state": "UT",
"postal_code": "840977748",
"telephone_number": "801-226-3044",
"fax_number": "801-802-7326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "WILLIAM",
"middle_name": "CARLAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "UT",
"license": "348323-8904",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "UT",
"license": "348323-9934",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "UT",
"license": "348323-9934",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "87017934014001",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "999000797009",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.