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EYE SURG OF UTAH, LLC
NPI 1629069281
Clinic/Center - Ophthalmologic Surgery in Draper, UT

Active since November 02, 2005CLIA 46D0970877 · Waiver
11820 SOUTH STATE STREET, 150, DRAPER, UT 84020(801) 568-0200(801) 563-0200 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eye Surg Of Utah, Llc NPPES

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

EYE SURG OF UTAH, LLC (NPI 1629069281) is a healthcare organization registered as an ophthalmologic surgery in Draper, Utah and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through February 28, 2028 and lists Phillip C Hoopes, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1629069281
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NameEYE SURG OF UTAH, LLC
Location Address11820 SOUTH STATE STREET, 150Draper, UT 84020-7160
Mailing Address11820 South State Street, 150Draper, UT 84020-7160 · (801) 568-0200 · Fax (801) 563-0200
Phone(801) 568-0200
Fax(801) 563-0200
Organization SubpartYesParent: Hoops Vision Correction Center
Authorized OfficialPhillip C HoopesCeo/owner · (801) 568-0200
Enumeration DateNovember 2, 2005
Last NPPES UpdateOctober 9, 2013
✔ NPI 1629069281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
License✔ Licensed in UT · 2000ASF11451
11820 SOUTH STATE STREET, Draper, UT 84020
Open in Google Maps ↗

Other Identifiers 3

Medicaid=========001UT
Medicare UPIN0TH000UT
Medicare PIN000001057UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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)

Eye Surg Of Utah, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eye Surg Of Utah, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Christopher Lloyd, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851538615
10150 S PETUNIA WAY STE B
Sandy, UT 84092
(801) 619-1115
✔ Accepts Medicare3.0 mi
Nichole Cuddeback, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124350137
9660 S 1300 E
Sandy, UT 84094
(801) 727-2056
✔ Accepts Medicare3.3 mi
Shane Stockwell, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346334018
3495 W KAMRAN RIDGE CV
South Jordan, UT 84095
(304) 982-9556
✔ Accepts Medicare4.4 mi
Trent Bell, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1669435673
250 W 300 N
Roosevelt, UT 84066
(435) 722-6163
✔ Accepts Medicare96 mi

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 46D0970877

Eyesurg Of Utah LLC · Draper, UT
Active · expires Feb 28, 2028
CLIA Number46D0970877
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorAlexa Rodgerson
Laboratory Phone(801) 568-0200
Laboratory LocationEyesurg Of Utah LLC11820 S State Street Suite 150, Draper, UT 84020
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
629 services408 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
194 services157 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
33 services26 patients

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 Eye Surg Of Utah, LLC's NPI number?

The NPI number for Eye Surg Of Utah, LLC is 1629069281. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Eye Surg Of Utah, LLC located?

Eye Surg Of Utah, LLC is located at 11820 South State Street 150, Draper, UT 84020. The listed phone number is (801) 568-0200.

What is Eye Surg Of Utah, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Is Eye Surg Of Utah, LLC enrolled in Medicare?

Yes. Eye Surg Of Utah, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Surg Of Utah, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Eye Surg Of Utah, LLC. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eye Surg Of Utah, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0970877) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Surg Of Utah, LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Eye Surg Of Utah, LLC 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 Eye Surg Of Utah, LLC was last updated on October 9, 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.