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MOUNTAIN WEST EYECARE INC
NPI 1174708663
Optometrist in West Valley City, UT

Active since January 03, 2008
2727 W 3500 S, WEST VALLEY CITY, UT 84119(801) 968-6772(801) 968-6771 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mountain West Eyecare Inc NPPES

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

MOUNTAIN WEST EYECARE INC (NPI 1174708663) is a healthcare organization registered as an optometrist in West Valley City, Utah and active in the NPI registry since January 2008. The organization lists Michael D Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1174708663
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMOUNTAIN WEST EYECARE INC
Location Address2727 W 3500 SWest Valley City, UT 84119-3106
Mailing Address2727 W 3500 SWest Valley City, UT 84119-3106 · (801) 968-6772 · Fax (801) 968-6771
Phone(801) 968-6772
Fax(801) 968-6771
Organization SubpartNo
Authorized OfficialMichael D BrownOwner · (801) 968-6772
Enumeration DateJanuary 3, 2008
Last NPPES UpdateMarch 2, 2016
✔ NPI 1174708663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 144497
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2727 W 3500 S, West Valley City, UT 84119
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Other Identifiers 3

Medicare PIN000055273UT
Medicare UPINT18183UT
Medicare NSC0469270001UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain West Eyecare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20050910000061Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mountain West Eyecare Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Bethany Gillett, OD
Optometry
NPI 1225651011
3029 S COLT PLAZA DR STE 1
West Valley City, UT 84128
(801) 968-6772
✔ PECOS✔ Accepts Medicare2.2 mi
Michael Judkins, O.D.
Optometry
NPI 1699774026
5331 ADAMS AVE PKWY SUITE B
South Ogden, UT 84405
(801) 479-7850
✔ PECOS✔ Accepts Medicare34 mi

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

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 Mountain West Eyecare Inc's NPI number?

The NPI number for Mountain West Eyecare Inc is 1174708663. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Mountain West Eyecare Inc located?

Mountain West Eyecare Inc is located at 2727 W 3500 S, West Valley City, UT 84119. The listed phone number is (801) 968-6772.

What is Mountain West Eyecare Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mountain West Eyecare Inc enrolled in Medicare?

Yes. Mountain West Eyecare Inc is registered in the Medicare PECOS enrollment system.

When is Mountain West Eyecare Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mountain West Eyecare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Mountain West Eyecare Inc. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain West Eyecare Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and University of Utah Health Plans list Mountain West Eyecare Inc 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 Mountain West Eyecare Inc was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.