DEPARTMENT OF OPHTHALMOLOGY - PEDIATRIC DIVISION
NPI 1467497156
Ophthalmology in Salt Lake City, UT

Q: What is Department Of Ophthalmology - Pediatric Division's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 18, 2006

100 MARIO CAPECCHI DR, # 3650, SALT LAKE CITY, UT 84112(801) 581-3195 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Department Of Ophthalmology - Pediatric Division NPPES

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

DEPARTMENT OF OPHTHALMOLOGY - PEDIATRIC DIVISION (NPI 1467497156) is a healthcare organization registered as an ophthalmology in Salt Lake City, Utah and active in the NPI registry since June 2006. The organization lists Randall J Olson, Department Chair, as its authorized official.

NPPES Registry Identity

NPI1467497156

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameDEPARTMENT OF OPHTHALMOLOGY - PEDIATRIC DIVISION

Location Address100 MARIO CAPECCHI DR, # 3650Salt Lake City, UT 84112-8924

Mailing Address65 Mario Capecchi DrSalt Lake City, UT 84132-0001 · (801) 581-3195

Phone(801) 581-3195

Organization SubpartNo

Authorized OfficialRandall J OlsonDepartment Chair · (801) 581-3195

Enumeration DateJune 18, 2006

Last NPPES UpdateSeptember 20, 2011

✔ NPI 1467497156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOptometristTaxonomy 152W00000X

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X

Also ListedTechnician/Technologist · Contact LensTaxonomy 156FC0800X

Also ListedTechnician/Technologist · Contact Lens FitterTaxonomy 156FC0801X

100 MARIO CAPECCHI DR, Salt Lake City, UT 84112

Open in Google Maps ↗

Other Identifiers 4

Other806964900ID · Idaho Medicaid

Other122451400WY · Wyoming Medicaid

Medicare ID-Type Unspecified000057068UT

Other100503637NV · Nevada Medicaid

Group Practice 1

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

Other Providers at the Same Location NPPES 9

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

DR. CRAIG M CROOKSTON DPT

Physical Therapist

100 MARIO CAPECCHI DR, STE 4400
SALT LAKE CITY, UT 84112

Salt Lake County (801) 662-4951

UOU PEDIATRIC ORTHOPEDICS

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)