Dr Kevin Mark Ellsworth, OD - Medicare Optometrist in Logan, UT

Dr Kevin Mark Ellsworth, OD is a medicare enrolled "Optometrist" provider in Logan, Utah. He went to Southern California College Of Optometry and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. His current practice location is 395 E 1400 N, Suite B, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 752-5585.

Dr Kevin Mark Ellsworth is licensed to practice in Utah (license number 112376-9934) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669457024.

Contact Information

Dr Kevin Mark Ellsworth, OD
395 E 1400 N, Suite B,
Logan, UT 84341-7573
(435) 752-5585
(435) 787-2871

Map and Direction




Healthcare Provider's Profile

Full NameDr Kevin Mark Ellsworth
GenderMale
SpecialityOptometry
Experience39 Years
Location395 E 1400 N, Logan, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin Mark Ellsworth attended and graduated from Southern California College Of Optometry in 1985
  NPI Data:
  • NPI Number: 1669457024
  • Provider Enumeration Date: 12/08/2005
  • Last Update Date: 08/20/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5890775027
  • Enrollment ID: I20040720001186

Medical Identifiers

Medical identifiers for Dr Kevin Mark Ellsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669457024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 112376-9934 (Utah)Primary

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. Dr Kevin Mark Ellsworth 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
Dr Kevin Mark Ellsworth, OD
395 E 1400 N, Suite B,
Logan, UT 84341-7573

Ph: (435) 752-5585
Dr Kevin Mark Ellsworth, OD
395 E 1400 N, Suite B,
Logan, UT 84341-7573

Ph: (435) 752-5585

Reviews and Comments


Optometrist in Logan, UT

Eye Pros
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1475 N Main St Ste 103, Logan, UT 84341
Phone: 208-501-8222    
Budge Vision Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 535 E 1400 N Ste 130, Logan, UT 84341
Phone: 435-753-5280    
Eye Care For You P.c.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 43 E 400 N, Logan, UT 84321
Phone: 435-752-6453    Fax: 435-752-6486
Rebecca Lynn Freeman, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 550 E 1400 N Ste P, Logan, UT 84341
Phone: 435-752-2020    Fax: 435-752-5475
Standard Optical Co
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1153 N Main St, Suite A120, Logan, UT 84341
Phone: 435-752-2092    Fax: 435-750-6734
Dr. Gustaf Isaac Gibson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 145 W Cache Valley Blvd, Logan, UT 84341
Phone: 435-787-9273    Fax: 435-787-9275
The Optical Shoppe
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 550 E 1400 N Ste T, Logan, UT 84341
Phone: 435-752-2020    Fax: 435-752-5475

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.