Organization Active NPI

Olympus Eye Associates, PC

  • Ophthalmology Physician
  • Murray, UT
National Provider Identifier
1912202425
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OLYMPUS EYE ASSOCIATES, PC
Practice address
5872 S 900 E Ste 100
Murray, UT 84121-1677
Phone
(801) 261-0726
Fax
(801) 262-2838
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Dr. David William Dodds, M.D.NPI 1881980142
Title
Owner
Phone
(801) 261-0726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 7871004-0144 UT
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

5872 S 900 E Ste 100
Murray, UT 84121-1677

Mailing address

5872 S 900 E Ste 100
Murray, UT 84121-1677
Phone (801) 261-0726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000309 UT Part B Supplier - Clinic/Group Practice 9739360181 Receives reassigned benefits from 5 practitioners
Practice locations: Bountiful, UT; Millcreek, UT; Murray, UT

National Provider Directory

National Provider Directory

Locations

6005 Fashion Blvd
Ste 125
Murray, UT 84107
Phone (801) 261-0726

5872 S 900 E
Ste 150
Murray, UT 84121
Phone (801) 265-0600

5882 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 685-2862

5872 S 900 E
Ste 100
Murray, UT 84121
Phone (801) 261-0726

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1912202425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211677",
            "telephone_number": "801-261-0726",
            "fax_number": "801-262-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 S 900 E STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211677",
            "telephone_number": "801-261-0726",
            "fax_number": "801-262-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-261-0726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "7871004-0144",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.