Individual provider Active NPI

Jeffrey Lynn Simmons, OD

  • Optometrist
  • South Jordan, UT
National Provider Identifier
1831546118
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9799948-9934 Issued in UT
Practice address
5474 W Daybreak Pkwy Ste G3
South Jordan, UT 84009-5909
Phone
(801) 923-3935
Fax
(801) 797-1258
NPI assigned
May 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9799948-9934 UT Primary

Addresses

Primary practice location

5474 W Daybreak Pkwy Ste G3
South Jordan, UT 84009-5909

Mailing address

5474 W Daybreak Pkwy Ste G3
South Jordan, UT 84009-5909
Phone (801) 923-3935

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
I20190206002140 UT Practitioner - Optometry 4688912207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5474 W Daybreak Pkwy
Suite G3
South Jordan, UT 84009-5909
Phone (801) 923-3935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Simmons OD Optometrist CurrentSince May 9, 2023 Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients

Locations

5474 W Daybreak Pkwy
Ste G3
South Jordan, UT 84009
Phone (801) 923-3935

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1831546118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5474 W DAYBREAK PKWY STE G3",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095909",
            "telephone_number": "801-923-3935",
            "fax_number": "801-797-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 W DAYBREAK PKWY STE G3",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095909",
            "telephone_number": "801-923-3935",
            "fax_number": "801-797-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9799948-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.