Mt Ogden Eye Center Llc - Medicare in Ogden, UT

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Mt Ogden Eye Center Llc is a medicare enrolled "Ophthalmology" provider in Ogden, Utah. Their current practice location is 4360 Washington Blvd, Ogden, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 476-0494.

Mt Ogden Eye Center Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mt Ogden Eye Center Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1700927043.

Contact Information

Mt Ogden Eye Center Llc
4360 Washington Blvd,
Ogden, UT 84403-1866
(801) 476-0494
(801) 476-0067

Map and Direction




Healthcare Provider's Profile

Full NameMt Ogden Eye Center Llc
TypeFacility
SpecialityOphthalmology
Location4360 Washington Blvd, Ogden, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700927043
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 09/12/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2860474962
  • Enrollment ID: O20040602001630

Medical Identifiers

Medical identifiers for Mt Ogden Eye Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700927043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
332H00000XEyewear Supplier (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mt Ogden Eye Center Llc acts as a billing entity for following providers:
Provider NameScott O Sykes
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083693204
PECOS PAC ID: 8123000981
Enrollment ID: I20040730000699
Provider NameMichael B Wilcox
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1053391771
PECOS PAC ID: 9032180955
Enrollment ID: I20040804000699
Provider NameJamie M Monroe
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1619075678
PECOS PAC ID: 0749249597
Enrollment ID: I20050324000453
Provider NameClaron Douglas Alldredge
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1841200284
PECOS PAC ID: 9638173545
Enrollment ID: I20060907000528
Provider NameJed T Poll
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376656124
PECOS PAC ID: 6901969377
Enrollment ID: I20090112000105
Provider NameRachel S Benator
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1053316976
PECOS PAC ID: 9032252846
Enrollment ID: I20100202000593
Provider NameDevin B Farr
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750643896
PECOS PAC ID: 2668612474
Enrollment ID: I20130627000792
Provider NameMichael L Bullard
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1326351727
PECOS PAC ID: 8426292145
Enrollment ID: I20140814001823
Provider NameCourt R Wilkins
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780679613
PECOS PAC ID: 8729200787
Enrollment ID: I20141107000969
Provider NameBradley J Anderson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952664260
PECOS PAC ID: 6901037100
Enrollment ID: I20180220002254
Provider NamePeter Garrett Coombs
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306137104
PECOS PAC ID: 6406162999
Enrollment ID: I20180627002834
Provider NameBrock C Hansen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992123376
PECOS PAC ID: 9931455748
Enrollment ID: I20190429000891
Provider NameDavid Griffin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023471901
PECOS PAC ID: 0749554046
Enrollment ID: I20200707000813
Provider NameDaxton Aaron Hawks
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821663675
PECOS PAC ID: 3678973492
Enrollment ID: I20210616002035
Provider NameIsha Gupta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972980332
PECOS PAC ID: 4981931227
Enrollment ID: I20220714002717
Provider NameTyrell Yardley
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578269767
PECOS PAC ID: 7810360617
Enrollment ID: I20230225000356
Provider NameKiana Murray Rigby
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750075081
PECOS PAC ID: 2567822158
Enrollment ID: I20230713003871

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mt Ogden Eye Center Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mt Ogden Eye Center Llc
4360 Washington Blvd,
Ogden, UT 84403-1866

Ph: (801) 476-0494		Mt Ogden Eye Center Llc
4360 Washington Blvd,
Ogden, UT 84403-1866

Ph: (801) 476-0494

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.