- Medicare in West Jordan, UT

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is a medicare enrolled "Eyewear Supplier" provider in West Jordan, Utah. Their current practice location is 1520 W 9000 S Ste E, West Jordan, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 561-7300.

is licensed to practice in * (Not Available) (license number ) 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 1407412885.

Contact Information

1520 W 9000 S Ste E,
West Jordan, UT 84088-8001
(801) 561-7300
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityEyewear Supplier
Location1520 W 9000 S Ste E, West Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407412885
  • Provider Enumeration Date: 05/11/2019
  • Last Update Date: 11/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456684471
  • Enrollment ID: O20190627000568

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407412885NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
332H00000XEyewear Supplier (* (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. acts as a billing entity for following providers:
Provider NameSteven Dewey
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063462810
PECOS PAC ID: 5799797221
Enrollment ID: I20060626000179
Provider NameScott R Haderlie
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386694677
PECOS PAC ID: 8820187925
Enrollment ID: I20071127000559
Provider NameCarlyle D Swain
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184725632
PECOS PAC ID: 1456696780
Enrollment ID: I20181214001166
Provider NameKarl Jepson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184976425
PECOS PAC ID: 2769790260
Enrollment ID: I20200617001541
Provider NameBen Cannon
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770868820
PECOS PAC ID: 6305061136
Enrollment ID: I20210301000646
Provider NameMichael Davis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1689670861
PECOS PAC ID: 9931261294
Enrollment ID: I20240812003068

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

Po Box 19060,
Green Bay, WI 54307-9060

Ph: () -
1520 W 9000 S Ste E,
West Jordan, UT 84088-8001

Ph: (801) 561-7300

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.