- Medicare in Salt Lake City, UT

  1. Home
is a medicare enrolled "Ophthalmology" provider in Salt Lake City, Utah. Their current practice location is 6344 S 900 E, Salt Lake City, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 892-8222.

is licensed to practice in Utah (license number 73837368905) and it also participates in the medicare program. 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 1518307909.

Contact Information

6344 S 900 E,
Salt Lake City, UT 84121-2439
(801) 892-8222
(801) 904-3436

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOphthalmology
Location6344 S 900 E, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518307909
  • Provider Enumeration Date: 06/28/2013
  • Last Update Date: 02/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0840421798
  • Enrollment ID: O20140318002035

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518307909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 73669439934 (Utah)Secondary
207W00000XOphthalmology 73837368905 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJason Edward Holmes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194776005
PECOS PAC ID: 9830154905
Enrollment ID: I20041130001027
Provider NameRoland Espeleta Abundo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013970235
PECOS PAC ID: 6608894639
Enrollment ID: I20051108000341
Provider NameGregory A Christiansen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1831175629
PECOS PAC ID: 5193793685
Enrollment ID: I20100715000821
Provider NameMichael T Chism
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770866840
PECOS PAC ID: 9133432784
Enrollment ID: I20150724012282
Provider NameJulie Linden Soto
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1013209493
PECOS PAC ID: 4183938269
Enrollment ID: I20160902000485
Provider NameJason D Rupp
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164797270
PECOS PAC ID: 4688803893
Enrollment ID: I20170627001287

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. 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

6344 S 900 E,
Salt Lake City, UT 84121-2439

Ph: (801) 892-8222
6344 S 900 E,
Salt Lake City, UT 84121-2439

Ph: (801) 892-8222

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.