E Leigh Wilkinson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

183691-1205 Issued in UT

Practice address

4400 So 700 E #100
Salt Lake City, UT 84107

Phone

(801) 264-4450

Fax

(801) 264-4409

NPI assigned

Aug 30, 2006

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rocky MTN Eye Care Associates LC

  • Ophthalmologic Surgery Clinic/Center
  • Salt Lake City, UT
  • NPI 1538163936
  Medicare reassignment NPD Authorized official
• Legacy Medical PC

  • Ophthalmology Physician
  • Salt Lake City, UT
  • NPI 1235266776
  NPD (past)
• Rocky Mountain Optical

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
  • NPI 1467559492
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962512855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SO 700 E #100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-264-4450",
            "fax_number": "801-264-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SO 700 E #100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-264-4450",
            "fax_number": "801-264-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "E",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "183691-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870544230002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Glenn Wilkins, D.D.S.
• Stacy Higley Wilkins, MSN, APRN, FNP-C
• Victoria Lynn Wilkins, MD
• William Dean Wilkins, MD
• Debra Kimberly Wilkinson
• Glenda Amelia Wilkinson, LCSW
• Jeffery Wilkinson
• Joey Michael Wilkinson, PHARM.D.
• Kriselle Wilkinson
• Mark Ford Wilkinson, D.O.

• Ophthalmology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Ophthalmology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.