Jeffry Reed Ricks, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

112865-9934 Issued in UT

Practice address

1791 E 280 N
St George, UT 84790-2400

Phone

(435) 656-2020

Fax

(435) 634-2646

NPI assigned

Jun 21, 2005

Last updated

Jan 3, 2024By the provider in NPPES

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jricks@ceput-zei.emadirect.md

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.

• Jason a Ahee MD PC

  dba Zion Eye Institute

  • Ophthalmology Physician
  • St George, UT
  • NPI 1649276957
  Medicare reassignment
• Dixie Eye Surgi-Center Inc

  • Ophthalmologic Surgery Clinic/Center
  • St George, UT
  • NPI 1215148788
  NPD (past)
• Ronald L Snow MD Facs PC

  dba Dixie Eye Center

  • Ophthalmology Physician
  • St George, UT
  • NPI 1407035868
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1871599225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 E 280 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902400",
            "telephone_number": "435-656-2020",
            "fax_number": "435-634-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 E 280 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902400",
            "telephone_number": "435-656-2020",
            "fax_number": "435-634-2646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1085 S Bluff St",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847705245",
            "country_code": "US",
            "telephone_number": "435-688-2020",
            "fax_number": "435-634-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKS",
        "first_name": "JEFFRY",
        "middle_name": "REED",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "112865-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187159925",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Jean Richey
• Susan Lynette Richey
• Shannon Richins, MS, CCC-SLP
• Amie Tuckett Richmond, LCSW
• Mason Richter
• Morgan Ann Ricks
• Brandon Rider
• Jacob Rider
• McKenzie Rider
• Tapanga Ridgell

• Optometrist in St George, UT
• Providers in St George, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.