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NPI 1538359203ActiveOrganization· Optometrist· Bountiful, UT

Optometrist in Bountiful, Utah, registered in NPPES in July 2007. The authorized official on file is Daniel Wayne Pace, OD, President / Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1538359203
StatusActive
Entity typeOrganization
NPI issuedJul 30, 2007
Last updated in NPPESNov 18, 2025
Certified by providerNov 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X20367940160UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

Other Optometrist providers in Bountiful

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