Individual provider Active NPI

Leidy Dayan Monsalve-Ward, OD

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1992483085
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13485292-9934 Issued in UT
Practice address
4400 S 700 E Ste 100
Salt Lake City, UT 84107-3346
Phone
(801) 264-4450
Fax
(801) 264-4409
NPI assigned
Jul 7, 2023
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13485292-9934 UT Primary

Addresses

Primary practice location

4400 S 700 E Ste 100
Salt Lake City, UT 84107-3346

Mailing address

4400 S 700 E
Millcreek, UT 84107-3284
Phone (801) 264-4450

Other names 1

  • Dr. Leidy Dayan Monsalve-Ward Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227002811 UT Practitioner - Optometry 6406206804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of Ogden PCGroup PAC ID 4082866827, 4 clinicians
Rocky MTN Eye Care Associates LCGroup PAC ID 6305878539, 5 clinicians

Practice addresses (Care Compare)

1055 N Washington Blvd
Ogden, UT 84404-3605
Phone (801) 394-5709

4400 S 700
Suite 100
Salt Lake Cty, UT 84107-3053
Phone (801) 264-4450

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Ogden PC Optometrist CurrentSince Feb 26, 2024 Accepting new patients
Rocky MTN Eye Care Associates LC CurrentSince Oct 23, 2023 Accepting new patients
Rich H. Humpherys, O.D. Optometrist PastSince Feb 26, 2024 Accepting new patients

Locations

1055 N Washington Blvd
Ogden, UT 84404
Phone (801) 394-5709

4400 S 700 E
Ste 100
Salt Lake Cty, UT 84107
Phone (801) 264-4450

Interoperability endpoints

  • Direct secure messaging: dmonsalveward@rockymountaineyecare.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1992483085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S 700 E",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841073284",
            "telephone_number": "801-264-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S 700 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073346",
            "telephone_number": "801-264-4450",
            "fax_number": "801-264-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSALVE-WARD",
        "first_name": "LEIDY",
        "middle_name": "DAYAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "13485292-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIDY",
            "last_name": "MONSALVE-WARD",
            "middle_name": "DAYAN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.