Active NPI
Jason Mackay, OD
- Optometrist
- Draper, UT
National Provider Identifier
1821525965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10650496-9934
- Practice address
- 1147 E Draper Pkwy
Draper, UT 84020-9096 - Phone
- (801) 916-9555
- NPI assigned
- May 19, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 10650496-9934 | UT | |
| Sports Vision Optometrist | 152WS0006X | 10650496-9934 | UT | |
| Vision Therapy Optometrist | 152WV0400X | 10650496-9934 | UT | |
| Optometrist | 152W00000X | 10650496-9934 | UT | Primary |
Addresses
Primary practice location
1147 E Draper Pkwy
Draper, UT 84020-9096
Mailing address
1147 E Draper Pkwy
Draper, UT 84020-9096
Phone (714) 334-1664
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1147 E Draper Pkwy
Draper, UT 84020-9096
Phone (801) 619-9555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33820 | CA | MD | Chiropractor |
| 10650496-9934 | UT | MD | Sports Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidden Valley Eyecare and Framed Optical, PLLC | Optometrist | Current | Accepting new patients |
| Hidden Valley Eye Care, Inc. | Current | Accepting new patients |
Locations
1147 E Draper Pkwy
Draper, UT 84020
Phone (714) 334-1664
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hidden Valley Eye Care and Framed Optical
- Optometrist
- Draper, UT
- NPI 1184126963
-
- Corneal and Contact Management Optometrist
- Draper, UT
- NPI 1003949850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1821525965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 E DRAPER PKWY",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209096",
"telephone_number": "714-334-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1147 E DRAPER PKWY",
"city": "DRAPER",
"state": "UT",
"postal_code": "840209096",
"telephone_number": "801-916-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "JASON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-19",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "UT",
"license": "10650496-9934",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "UT",
"license": "10650496-9934",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "UT",
"license": "10650496-9934",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "10650496-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; 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.