VISION SOURCE OF SOUTH OGDEN
NPI 1538807573
Optometrist in Ogden, UT
About Vision Source Of South Ogden NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISION SOURCE OF SOUTH OGDEN (NPI 1538807573) is a healthcare organization registered as an optometrist in Ogden, Utah and active in the NPI registry since May 2022. The organization lists Ian Whipple, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Vision Source Of South Ogden is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Vision Source Of South Ogden, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vision Source Of South Ogden's NPI number?
The NPI number for Vision Source Of South Ogden is 1538807573. It was assigned to this organization in the NPPES registry on May 20, 2022.
Where is Vision Source Of South Ogden located?
Vision Source Of South Ogden is located at 5331 Adams Ave Pkwy Ste B, Ogden, UT 84405. The listed phone number is (801) 479-7850.
What is Vision Source Of South Ogden's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Vision Source Of South Ogden enrolled in Medicare?
Yes. Vision Source Of South Ogden is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vision Source Of South Ogden?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Vision Source Of South Ogden. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Vision Source Of South Ogden accept?
Health plans from BlueCross BlueShield of Tennessee list Vision Source Of South Ogden 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 Vision Source Of South Ogden was last updated on July 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.
# Vision Source Of South Ogden · NPI 1538807573
Optometrist organization in Ogden, Utah. Organization record, active in the CMS NPPES registry since May 20, 2022.
## Identity
- **NPI:** 1538807573 (Entity type: Organization)
- **Enumerated:** May 20, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Ian Whipple, PRESIDENT
## Practice location
- **Address:** 5331 ADAMS AVE PKWY STE B, Ogden, UT 84405-4755
- **Phone:** (801) 479-7850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1538807573) · Data from the CMS NPPES public registry.