1. Home
  2. Directory
  3. Utah
  4. South Jordan
  5. Optometrist
  6. NPI Profile

DR. JEFFREY L BROADHEAD O.D.
NPI 1306829569
Optometrist in South Jordan, UT

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
3556 W 9800 S, SUITE 104, SOUTH JORDAN, UT 84095(801) 253-6590(801) 253-6591 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeffrey L Broadhead O.d. NPPES

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

DR. JEFFREY L BROADHEAD O.D. (NPI 1306829569) is an individual optometrist in South Jordan, Utah, licensed in Utah (4826018-9934) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1998).

NPPES Registry Identity

NPI1306829569
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY L BROADHEADCredential: O.D.
Location Address3556 W 9800 S, SUITE 104South Jordan, UT 84095-3211
Mailing Address3556 W 9800 S, Suite 104South Jordan, UT 84095-3211 · (801) 253-6590 · Fax (801) 253-6591
Phone(801) 253-6590
Fax(801) 253-6591
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1998
Enumeration DateNovember 22, 2005
Last NPPES UpdateJune 23, 2015
✔ NPI 1306829569 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 · 4826018-9934
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.
3556 W 9800 S, South Jordan, UT 84095
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINU88209UT

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeffrey L Broadhead O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517922826
PECOS Enrollment IDI20041129000671
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services62 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
50 services36 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
46 services45 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
14 services14 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
13 services12 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. TIMOTHY B. ELISON D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
3556 W 9800 S, SUITE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 446-3549
VILATE M THUR APRN
Nurse Practitioner
3556 W 9800 S, #101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 567-9750
MICHELLE ELIZABETH MURRAY M.D.
Internal Medicine
3556 W 9800 S, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 567-9780
KEVIN COTTLE APRN
Nurse Practitioner (Family)
3556 W 9800 S, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 567-9780
DR. CURTIS K ANDREWS DO
Internal Medicine
3556 W 9800 S, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 567-9780
MADISON PORTER NEWTON PA-C
Physician Assistant
3556 W 9800 S
SOUTH JORDAN, UT 84095
Salt Lake County (801) 567-9780
ORTHODONTIC CENTER
Dentist (Orthodontics and Dentofacial Orthopedics)
3556 W 9800 S, SUITE 103
SOUTH JORDAN, UT 84095
Salt Lake County (801) 446-3549
MARTIN A HOLLINGSWORTH MD
Internal Medicine
3556 W 9800 S, #101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 567-9750

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 Jeffrey Broadhead's NPI number?

The NPI number for Jeffrey Broadhead is 1306829569. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Jeffrey Broadhead located?

Jeffrey Broadhead practices at 3556 W 9800 S Suite 104, South Jordan, UT 84095. The listed phone number is (801) 253-6590.

What is Jeffrey Broadhead's specialty?

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

Is Jeffrey Broadhead enrolled in Medicare?

Yes. Jeffrey Broadhead is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Broadhead accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Jeffrey Broadhead 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 Jeffrey Broadhead was last updated on June 23, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.