DR. CALLIN PASSEY OD
NPI 1508020363
Optometrist in Providence, UT

Q: What is Callin Passey's NPI number?

The NPI number for Callin Passey is 1508020363. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Q: What is Callin Passey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Callin Passey was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment

517 W 100 N STE 110, PROVIDENCE, UT 84332(435) 755-6075(435) 374-0502 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2022, Feb 17, 2020 (2 updates tracked since 2020).

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About Dr. Callin Passey Od NPPES

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

DR. CALLIN PASSEY OD (NPI 1508020363) is an individual optometrist in Providence, Utah, licensed in Utah (5199756-9934) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2008).

NPPES Registry Identity

NPI1508020363

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. CALLIN PASSEYCredential: OD

Location Address517 W 100 N STE 110Providence, UT 84332-9826

Mailing Address517 W 100 N Ste 210Providence, UT 84332-9826 · (435) 755-6061 · Fax (994) 836-2509

Phone(435) 755-6075

Fax(435) 374-0502

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2008

Enumeration DateJuly 10, 2008

Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration

NPPES CertifiedAugust 12, 2022

✔ NPI 1508020363 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 · 5199756-9934

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.

517 W 100 N STE 110, Providence, UT 84332

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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

Dr. Callin Passey Od 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 ID1951450485

PECOS Enrollment IDI20090512000639, I20260127003176

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

Medicare enrollment records show Callin Passey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aeg Utah Professional Inc

4.8 mi

Optometrist

1300 N 200 E STE 104
Logan, UT 84341

Reassigned Medicare billing, Utah enrollment
10 clinicians in this Medicare group

NPI 1154212777 (435) 752-6453

Eyecare Specialties Of Idaho PC

27 mi

Optometrist

134 N STATE ST
Preston, ID 83263

Reassigned Medicare billing, Idaho enrollment
7 clinicians in this Medicare group

NPI 1417848037 (618) 462-9818

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84332 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 11

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

WHITNEY PETTERBORG RDN

Dietitian, Registered