Active NPI
Shawn Beagley, O.D.
- Optometrist
- West Valley, UT
National Provider Identifier
1982602231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5950051-9934
- Practice address
- 3747 S 2700 W
Inside Costco
West Valley, UT 84119-3721 - Phone
- (801) 996-9021
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- 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 | 5950051-9934 | UT | Primary |
Addresses
Primary practice location
3747 S 2700 W
Inside Costco
West Valley, UT 84119-3721
Mailing address
6456 W Davin View Dr
Herriman, UT 84096-5727
Phone (801) 512-9108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 15, 2025 through Sep 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Eyecare Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- West Valley City, UT
- NPI 1174708663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1982602231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6456 W DAVIN VIEW DR",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840965727",
"telephone_number": "801-512-9108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3747 S 2700 W",
"address_2": "INSIDE COSTCO",
"city": "WEST VALLEY",
"state": "UT",
"postal_code": "841193721",
"telephone_number": "801-996-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAGLEY",
"first_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "5950051-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.