RETINA ASSOCIATES OF UTAH, PLLC
NPI 1396867214
Ophthalmology - Retina Specialist in Salt Lake City, UT

Active since April 03, 2007CLIA 46D2025269 · Waiver
5169 COTTONWOOD ST STE 630, SALT LAKE CITY, UT 84107(801) 281-3030(801) 281-3033 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Retina Associates Of Utah, Pllc NPPES

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

RETINA ASSOCIATES OF UTAH, PLLC (NPI 1396867214) is a healthcare organization registered as a retina specialist in Salt Lake City, Utah and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Jenna Foote, Hr, as its authorized official.

NPPES Registry Identity

NPI1396867214
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA ASSOCIATES OF UTAH, PLLC
Location Address5169 COTTONWOOD ST STE 630Salt Lake City, UT 84107-6771
Mailing Address5169 S Cottonwood St Ste 630Salt Lake City, UT 84107-6771 · (801) 312-2020 · Fax (801) 312-2022
Fax(801) 281-3033
Organization SubpartNo
Authorized OfficialJenna FooteHr · (801) 312-2020
Enumeration DateApril 3, 2007
Last NPPES UpdateApril 21, 2026
NPPES CertifiedApril 21, 2026
NPI 1396867214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X
5169 COTTONWOOD ST STE 630, Salt Lake City, UT 84107

Other Identifiers 1

OtherCS8665Railroad Medicare

Group Practice 2

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

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 46D2025269

Retina Associates Of Utah, PLLC · Salt Lake City, UT
Active · expires Jun 5, 2027
CLIA Number46D2025269
Laboratory TypePhysician Office
Certificate Effective DateJune 6, 2025
Certificate Expiration DateJune 5, 2027
Laboratory DirectorIsaura Worthington
Laboratory Phone(801) 312-2020
Laboratory LocationRetina Associates Of Utah, PLLC5169 South Cottonwood Street, Suite 630, Salt Lake City, UT 84107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Ophthalmology (Retina Specialist)
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT 84107
Ophthalmology (Retina Specialist)
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT 84107
Ophthalmology (Retina Specialist)
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT 84107
Ophthalmology (Retina Specialist)
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT 84107
Ophthalmology (Retina Specialist)
5169 COTTONWOOD ST STE 630
SALT LAKE CITY, UT 84107

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 Retina Associates Of Utah, PLLC's NPI number?

The NPI number for Retina Associates Of Utah, PLLC is 1396867214. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Retina Associates Of Utah, PLLC located?

Retina Associates Of Utah, PLLC is located at 5169 Cottonwood St Ste 630, Salt Lake City, UT 84107. The listed phone number is (801) 281-3030.

What is Retina Associates Of Utah, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Does Retina Associates Of Utah, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2025269) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Retina Associates Of Utah, PLLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Retina Associates Of Utah, PLLC 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 Retina Associates Of Utah, PLLC was last updated on April 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.