Individual provider Active NPI

William Carlan Reese, OD

  • Corneal and Contact Management Optometrist
  • Orem, UT
National Provider Identifier
1790757110
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
348323-8904 Issued in UT
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

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
87017934014001OtherUTBLUE CROSS/BLUE SHIELD
999000797009MedicaidUT

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
I20040127000349 UT Practitioner - Optometry 9830091214 Reassigns benefits to 1 organization

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
Reese and Weaver Ods LLCGroup PAC ID 8426079690, 4 clinicians

Practice addresses (Care Compare)

1528 N Commerce Dr
Suite 102
Saratoga Springs, UT 84045-4032
Phone (801) 768-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
348323-8904UTMDCorneal and Contact Management Optometrist
348323-9934UTMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reese and Weaver, Ods LLC CurrentSince Dec 19, 2012 Accepting new patients
Reese & Weaver DDS LLC PastSince Dec 19, 2012 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.

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

Verify at the official NPI Registry.