Individual provider Active NPI

Bernadette N Lynch, OD

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1861640658
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7229395-9934 Issued in UT
Practice address
250 E 300 S Ste 380
Salt Lake City, UT 84111-2428
Phone
(801) 322-0467
Fax
(801) 363-6053
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7229395-9934 UT Primary

Addresses

Primary practice location

250 E 300 S Ste 380
Salt Lake City, UT 84111-2428

Mailing address

250 E 300 S Ste 380
Salt Lake City, UT 84111-2428
Phone (801) 322-0467

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
I20090602000185 UT Practitioner - Optometry 8224190962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berner Eye Clinic IncGroup PAC ID 9537145875, 5 clinicians

Practice addresses (Care Compare)

250 E Broadway
Suite 380
Salt Lake City, UT 84111-2428
Phone (801) 322-0467

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4697MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Berner Eye Clinic, Inc Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Standard Optical Company Optometrist Past Accepting new patients
Standard Optical Co Optometrist Past Accepting new patients
Conklin Eyecare PLLC. Optometrist Past Accepting new patients

Locations

250 E Broadway
Ste 380
Slc, UT 84111
Phone (801) 322-0467

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1861640658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 300 S STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112428",
            "telephone_number": "801-322-0467",
            "fax_number": "801-322-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 300 S STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112428",
            "telephone_number": "801-322-0467",
            "fax_number": "801-363-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "BERNADETTE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7229395-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.