Utah Vision Development Center, LLC
NPI 1104123801ActiveOrganization· Optometrist· South Jordan, UT
Optometrist in South Jordan, Utah, registered in NPPES in February 2011. The authorized official on file is Jarrod Davies, OD, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104123801 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2011 |
| Last updated in NPPES | Jun 2, 2020 |
| Certified by provider | Jun 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 7383319-9934 | UT |
| Optometrist, Sports Vision | 152WS0006X | 7383319-9934 | UT |
| Optometrist, Vision Therapy | 152WV0400X | 7383319-9934 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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