DR. STEPHEN BROCKBANK O.D.
NPI 1508973397
Optometrist in Salt Lake City, UT
About Dr. Stephen Brockbank O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHEN BROCKBANK O.D. (NPI 1508973397) is an individual optometrist in Salt Lake City, Utah, licensed in Utah (5601485-9934) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2002).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Stephen Brockbank O.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Stephen Brockbank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murray, UT 84121
- Reassigned Medicare billing, Utah enrollment
- 5 clinicians in this Medicare group
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 84101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephen Brockbank's NPI number?
The NPI number for Stephen Brockbank is 1508973397. It was assigned to this individual provider in the NPPES registry on August 25, 2006.
Where is Stephen Brockbank located?
Stephen Brockbank practices at 222 S Main St Suite 110, Salt Lake City, UT 84101. The listed phone number is (801) 456-2020.
What is Stephen Brockbank's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Stephen Brockbank enrolled in Medicare?
Yes. Stephen Brockbank 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 organization bills Medicare for Stephen Brockbank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Brockbank reassigns Medicare benefits to Olympus Eye Associates, PC (Murray, UT). The 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 Stephen Brockbank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Brockbank 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 5 other insurers list Stephen Brockbank 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 Stephen Brockbank was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Stephen Brockbank, O.D. · NPI 1508973397
Optometrist provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since August 25, 2006.
## Identity
- **NPI:** 1508973397 (Entity type: Individual)
- **Enumerated:** August 25, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 5601485-9934 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 222 S MAIN ST, SUITE 110, Salt Lake City, UT 84101-2174
- **Phone:** (801) 456-2020 · **Fax:** (801) 456-2021
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Olympus Eye Associates, PC (NPI 1912202425, Murray, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2002
## Record status
- **NPPES last updated:** June 4, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1508973397) · Data from the CMS NPPES public registry.