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RICHARD DALLIN BOARDMAN
NPI 1346764511
Optometrist in Logan, UT

Active since July 31, 2017PECOS EnrolledAccepts Medicare Assignment
810 S 100 W STE A, LOGAN, UT 84321(435) 787-7200(435) 787-7203 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, Nov 9, 2020, Feb 4, 2020 and 2 more (5 updates tracked since 2017).

About Richard Dallin Boardman NPPES

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

RICHARD DALLIN BOARDMAN (NPI 1346764511) is an individual optometrist in Logan, Utah, licensed in Idaho (ODP-100444) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Pacific University - College Of Optometry (2018).

NPPES Registry Identity

NPI1346764511
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRICHARD DALLIN BOARDMAN
Location Address810 S 100 W STE ALogan, UT 84321-6093
Mailing Address3485 N Cole Rd Unit 45479Boise, ID 83711-1095 · (208) 297-7019
Phone(435) 787-7200
Fax(435) 787-7203
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2018
Enumeration DateJuly 31, 2017
Last NPPES UpdateJuly 7, 20255 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1346764511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ID · ODP-100444
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
810 S 100 W STE A, Logan, UT 84321
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Secondary Practice Locations 2

Location 12727 22nd Ave Apt 32Forest Grove, OR 97116-1834 · Phone (208) 821-1920
Location 24013 Yellowstone Ave Ste DChubbuck, ID 83202 · Phone (208) 297-7019 · Fax (208) 297-7518

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 Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Dallin Boardman 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 ID3678820479
PECOS Enrollment IDI20190919001605
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Richard Boardman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Logan Eye Institute, PLLC
Same address
Ophthalmology
810 S 100 W, SUITE A
Logan, UT 84321
  • Reassigned Medicare billing, Utah enrollment
  • 3 clinicians in this Medicare group
NPI 1831585330 (435) 787-7200
Eye Pros Of Logan LLC
3.0 mi
Optometrist
1475 N MAIN ST STE 103
Logan, UT 84341
  • Reassigned Medicare billing, Utah enrollment
  • 9 clinicians in this Medicare group
NPI 1043702046 (208) 501-8222
Eye Pros Of Ogden
37 mi
Optometrist
4115 RIVERDALE RD
Riverdale, UT 84405
  • Reassigned Medicare billing, Utah enrollment
  • 8 clinicians in this Medicare group
NPI 1710456975 (208) 297-7019
Eye Pros Of Layton LLC
44 mi
Optometrist
1986 N HILL FIELD RD
Layton, UT 84041
  • Reassigned Medicare billing, Utah enrollment
  • 7 clinicians in this Medicare group
NPI 1760956221 (208) 297-7019
Lwk, P.C.
261 mi
Optometrist
291 N MILWAUKEE ST, SUITE A-3
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 24 clinicians in this Medicare group
NPI 1851624019 (208) 378-7020

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

Areas of Expertise CMS Part B claims 9

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.
46 services35 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services38 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.
37 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
20 services20 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).
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84321 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 2

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

DR. BRYAN KAY MONSON M.D. M.B.A.
Ophthalmology
810 S 100 W STE A
LOGAN, UT 84321
Cache County (435) 787-7200
MONSON SURGICAL CENTERS LLC
Clinic/Center (Ambulatory Surgical)
810 S 100 W STE A
LOGAN, UT 84321
Cache County (435) 787-7200

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 Richard Boardman's NPI number?

The NPI number for Richard Boardman is 1346764511. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Richard Boardman located?

Richard Boardman practices at 810 S 100 W Ste A, Logan, UT 84321. The listed phone number is (435) 787-7200.

What is Richard Boardman's specialty?

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

Is Richard Boardman enrolled in Medicare?

Yes. Richard Boardman 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.

Which organizations bill Medicare for Richard Boardman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Boardman reassigns Medicare benefits to 5 organizations: Logan Eye Institute, PLLC (Logan, UT), Eye Pros Of Logan LLC (Logan, UT), Eye Pros Of Ogden (Riverdale, UT), Eye Pros Of Layton LLC (Layton, UT) and Lwk, P.C. (Boise, ID). Each 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 Richard Boardman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Boardman accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Richard Boardman 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 Richard Boardman was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.