Active NPI
James Richard David II, O.D.
- Optometrist
- Kaysville, UT
National Provider Identifier
1932289691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4890612-9934
- Practice address
- 307 N 300 W
Ste 302
Kaysville, UT 84037-1852 - Phone
- (801) 499-0359
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4890612-9934 | UT | Primary |
Addresses
Primary practice location
307 N 300 W
Ste 302
Kaysville, UT 84037-1852
Mailing address
1520 Willow Dr
Kaysville, UT 84037-9646
Phone (801) 499-0359
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 W Gordon Ave
Suite E1
Layton, UT 84041-2387
Phone (801) 546-2481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4890612-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Vision Center PLLC | Optometrist | Current | Accepting new patients |
| Utah Vision Solutions, LLC | Current | Accepting new patients | |
| Layton Visual Center | Current | Accepting new patients | |
| Promontory Vision Partners | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Company | Optometrist | Past | Accepting new patients |
Locations
180 W Gordon Ave
Layton, UT 84041
Phone (801) 544-4213
180 W Gordon Ave
Ste E1
Layton, UT 84041
Phone (801) 546-2481
3475 Harrison Blvd
Ogden, UT 84403
Phone (801) 394-8885
Organizations & group practices 6
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.
-
- Pediatric Optometrist
- Layton, UT
- NPI 1366645954
-
- Clinic/Center
- Kaysville, UT
- NPI 1548680069
-
- Optometrist
- Ogden, UT
- NPI 1023220886
-
- Optometrist
- Clinton, UT
- NPI 1013187822
-
- Optometrist
- Roy, UT
- NPI 1396832655
-
- Optometrist
- West Point, UT
- NPI 1659958841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1932289691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 WILLOW DR",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840379646",
"telephone_number": "801-499-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 N 300 W",
"address_2": "STE 302",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840371852",
"telephone_number": "801-499-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "4890612-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.