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ADVANCED EYE PROSTHETICS LLC
NPI 1255008868
Durable Medical Equipment & Medical Supplies in Lehi, UT

Active since August 23, 2021
3305 W MAYFLOWER WAY STE 4, LEHI, UT 84048(833) 208-9009(866) 680-1322 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Eye Prosthetics Llc NPPES

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

ADVANCED EYE PROSTHETICS LLC (NPI 1255008868) is a healthcare organization registered as a durable medical equipment & medical supplies in Lehi, Utah and active in the NPI registry since August 2021. The organization lists Shar Petersen, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1255008868
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameADVANCED EYE PROSTHETICS LLC
Location Address3305 W MAYFLOWER WAY STE 4Lehi, UT 84048-2961
Mailing Address3305 W Mayflower Way Ste 4Lehi, UT 84048-2961 · (833) 208-9009 · Fax (866) 680-1322
Phone(833) 208-9009
Fax(866) 680-1322
Organization SubpartNo
Authorized OfficialShar PetersenPractice Administrator · (833) 208-9009
Enumeration DateAugust 23, 2021
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1255008868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedTechnician/Technologist · OcularistTaxonomy 156FX1700X
3305 W MAYFLOWER WAY STE 4, Lehi, UT 84048
Open in Google Maps ↗

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 BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Advanced Eye Prosthetics LLC carries, from the Medicare DMEPOS supplier directory.

Advanced Eye Prosthetics LLC

DMEPOS supplier · Lehi, UT
⋮

Does not accept Medicare assignment

Advanced Eye Prosthetics LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)23279785
Medicare Participant SinceMay 10, 2024
Supplier Location3305 W Mayflower Way Suite 4Lehi, UT 84043
Phone(833) 208-9009
Provider TypeOcularists

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TRAVIS ANTHONY PETERSEN BA, MFA
Technician/Technologist (Ocularist)
3305 W MAYFLOWER WAY STE 4
LEHI, UT 84048
(833) 208-9009

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 Advanced Eye Prosthetics LLC's NPI number?

The NPI number for Advanced Eye Prosthetics LLC is 1255008868. It was assigned to this organization in the NPPES registry on August 23, 2021.

Where is Advanced Eye Prosthetics LLC located?

Advanced Eye Prosthetics LLC is located at 3305 W Mayflower Way Ste 4, Lehi, UT 84048. The listed phone number is (833) 208-9009.

What is Advanced Eye Prosthetics LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Advanced Eye Prosthetics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Advanced Eye Prosthetics LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Advanced Eye Prosthetics LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Advanced Eye Prosthetics LLC 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 Advanced Eye Prosthetics LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.