ST GEORGE EYE CENTER
NPI 1073996344
Ophthalmology in St George, UT

Active since July 06, 2015CLIA 46D2146502 · Waiver
617 E RIVERSIDE DR SUITE 101, ST GEORGE, UT 84790(435) 628-4507(435) 628-3748 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 2, 2025, Nov 19, 2024 (2 updates tracked since 2024).

About St George Eye Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST GEORGE EYE CENTER (NPI 1073996344) is a healthcare organization registered as an ophthalmology in St George, Utah and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Jason W Hendrix, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1073996344
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameST GEORGE EYE CENTER
Location Address617 E RIVERSIDE DR SUITE 101St George, UT 84790
Mailing Address617 E Riverside Dr Ste 101Saint George, UT 84790-8720 · (435) 628-4507 · Fax (435) 628-3748
Fax(435) 628-3748
Organization SubpartYes
Authorized OfficialJason W HendrixManaging Member · (435) 628-4507
Enumeration DateJuly 6, 2015
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1073996344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in UT · 6160962-1205✔ Licensed in UT · 7154752-1205
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X · License 375881-9934 (UT)
617 E RIVERSIDE DR SUITE 101, St George, UT 84790

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St George Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to St George Eye Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Ophthalmology
NPI 1942485842
617 E RIVERSIDE DR STE 101
Saint George, UT 84790
(435) 628-4507
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1720358641
617 E RIVERSIDE DR STE 101
St George, UT 84790
(435) 628-4507
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1598918666
1054 E RIVERSIDE DR STE 201
St George, UT 84790
(435) 628-4507
✔ PECOS✔ Accepts Medicare0.5 mi
Ophthalmology
NPI 1831117167
1054 E RIVERSIDE DR STE 201
St George, UT 84790
(435) 628-4507
✔ PECOS✔ Accepts Medicare0.5 mi
Optometry
NPI 1821298456
820 NORTH SPRING STREET SUITE D
Caliente, NV 89008
(775) 726-3911
✔ PECOS✔ Accepts Medicare64 mi
Ophthalmology
NPI 1124644182
6410 S KINGS RANCH RD STE 1
Gold Canyon, AZ 85118
(480) 761-2500
✔ PECOS✔ Accepts Medicare284 mi
Optometry
NPI 1164893202
338 S DAKOTA AVE
Vandenberg Afb, CA 93437
(805) 606-7962
✔ PECOS422 mi
Ophthalmology
NPI 1235575242
1000 WALL STREET
Ann Arbor, MI 48105
(734) 764-4190
✔ PECOS✔ Accepts Medicare1,621 mi
Ophthalmology
NPI 1902397094
1 MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-7580
✔ PECOS✔ Accepts Medicare1,843 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2146502

St George Eye Center · St George, UT
Active · expires Mar 29, 2028
CLIA Number46D2146502
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorD Snow Slade MD
Laboratory Phone(435) 628-4507
Laboratory LocationSt George Eye Center617 E Riverside Dr, Suite 101, St George, UT 84790
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St George Eye Center's NPI number?

The NPI number for St George Eye Center is 1073996344. It was assigned to this organization in the NPPES registry on July 6, 2015.

Where is St George Eye Center located?

St George Eye Center is located at 617 E Riverside Dr Suite 101, St George, UT 84790. The listed phone number is (435) 628-4507.

What is St George Eye Center's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is St George Eye Center enrolled in Medicare?

Yes. St George Eye Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St George Eye Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to St George Eye Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (6) and Optometry (3). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St George Eye Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2146502) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St George Eye Center accept?

Health plans from Molina Healthcare and University of Utah Health Plans list St George Eye Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St George Eye Center was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.