Active NPI
Bernadette N Lynch, OD
- Optometrist
- Salt Lake City, UT
National Provider Identifier
1861640658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7229395-9934
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Practice addresses (Care Compare)
250 E Broadway
Suite 380
Salt Lake City, UT 84111-2428
Phone (801) 322-0467
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4697 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berner Eye Clinic, Inc | Optometrist | Current | 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.
-
- Optometrist
- Salt Lake City, UT
- NPI 1902889165
-
- Optometrist
- Salt Lake City, UT
- NPI 1174622922
-
- Optometrist
- Salt Lake City, UT
- NPI 1962599290
-
- Optometrist
- West Point, UT
- NPI 1659958841
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.