David R Masihdas, O D P C

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1107939934 Issued in UT

Practice address

150 S 1000 E Ste 100
Salt Lake City, UT 84102-1496

Phone

(801) 363-2851

Fax

(801) 363-7186

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Eye Associates LLCGroup PAC ID 8820534886, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Utah Eye Associates LLC

  • Optometrist
  • Salt Lake City, UT
  • NPI 1124876370
  Medicare reassignment Care Compare group NPD
• Generalhealthgroup of Utah

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1538804968
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1821079989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S 1000 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021496",
            "telephone_number": "801-363-2851",
            "fax_number": "801-363-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S 1000 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021496",
            "telephone_number": "801-363-2851",
            "fax_number": "801-363-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIHDAS",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O D P C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "UT",
            "license": "1107939934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason E. Mascoe, MD
• Noor Moein Mashal
• Mashelle Boswell, LCSW, PC
• Joanna Masi-Lynch, PA
• Danielle Nicole Masi, CSW
• Marissa Ann Masihdas
• Ashley Mason
• Jenny Farley Mason, FNP
• Katherine Sun Ae Mason, LCSW
• Lauren Mason

• Corneal and Contact Management Optometrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Corneal and Contact Management Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.

Verify at the official NPI Registry.