RETINA ASSOCIATES OF UTAH, PLLC
NPI 1396867214
Ophthalmology - Retina Specialist in Salt Lake City, UT
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 Quincy M Robinson, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Retina Associates Of Utah, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Retina Associates Of Utah, PLLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Salt Lake City, UT 84107
Salt Lake City, UT 84107
Salt Lake City, UT 84107
Salt Lake City, UT 84107
Salt Lake City, UT 84107
Salt Lake City, UT 84107
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, UTFrequently 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.
Is Retina Associates Of Utah, PLLC enrolled in Medicare?
Yes. Retina Associates Of Utah, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Retina Associates Of Utah, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Retina Associates Of Utah, PLLC. 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. The largest specialties are Ophthalmology (9) and Pediatric Medicine (1). Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.
# Retina Associates Of Utah, Pllc · NPI 1396867214
Retina Specialist organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1396867214 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Quincy Robinson, COO
## Practice location
- **Address:** 5169 COTTONWOOD ST STE 630, Salt Lake City, UT 84107-6771
- **Phone:** (801) 281-3030 · **Fax:** (801) 281-3033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (9), Pediatric Medicine (1); 8 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2026
- **Other identifiers:** Other CS8665
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396867214) · Data from the CMS NPPES public registry.