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ROCKY MOUNTAIN RETINA CONSULTANTS
NPI 1710980354
Ophthalmology - Retina Specialist in Salt Lake City, UT

Active since May 27, 2005CLIA 46D0948810 · Waiver
4400 S 700 E, STE 200, SALT LAKE CITY, UT 84107(801) 264-4444(801) 281-2383 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2025, Dec 4, 2019 (2 updates tracked since 2019).

About Rocky Mountain Retina Consultants NPPES

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

ROCKY MOUNTAIN RETINA CONSULTANTS (NPI 1710980354) is a healthcare organization registered as a retina specialist in Salt Lake City, Utah and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Mindy Thorne, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1710980354
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameROCKY MOUNTAIN RETINA CONSULTANTS
Location Address4400 S 700 E, STE 200Salt Lake City, UT 84107-3000
Mailing Address4400 S 700 E, Ste 200Salt Lake City, UT 84107-3000 · (801) 264-4444 · Fax (801) 281-2383
Phone(801) 264-4444
Fax(801) 281-2383
Organization SubpartNo
Authorized OfficialMindy ThornePractice Administrator · (801) 264-4444
Enumeration DateMay 27, 2005
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1710980354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
4400 S 700 E, Salt Lake City, UT 84107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company 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)

Rocky Mountain Retina Consultants 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 Rocky Mountain Retina Consultants, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

David Faber, M.D.
Ophthalmology
NPI 1811990450
4400 S 700 E STE 200
Salt Lake City, UT 84107
(801) 264-4444
✔ PECOS✔ Accepts Medicare1.5 mi
Mitchell Goff, M.D.
Ophthalmology
NPI 1578595153
4400 S 700 E STE 200
Salt Lake City, UT 84107
(801) 264-4444
✔ PECOS✔ Accepts Medicare1.5 mi
Jack Stringham, M.D.
Ophthalmology
NPI 1235496357
1055 N 300 W STE 500
Provo, UT 84604
(801) 357-7704
✔ PECOS✔ Accepts Medicare33 mi
Michael Simmons, M.D.
Ophthalmology
NPI 1194256479
4360 WASHINGTON BLVD ATTN CREDENTIALING
Ogden, UT 84403
(801) 476-0494
✔ PECOS✔ Accepts Medicare35 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 46D0948810

Rocky Mountain Retina Consultants · Salt Lake City, UT
Active · expires Jul 19, 2028
CLIA Number46D0948810
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorDavid W. Faber
Laboratory Phone(801) 264-4444
Laboratory LocationRocky Mountain Retina Consultants4400 S 700 E Ste 200, Salt Lake City, UT 84107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rocky Mountain Retina Consultants's NPI number?

The NPI number for Rocky Mountain Retina Consultants is 1710980354. It was assigned to this organization in the NPPES registry on May 27, 2005.

Where is Rocky Mountain Retina Consultants located?

Rocky Mountain Retina Consultants is located at 4400 S 700 E Ste 200, Salt Lake City, UT 84107. The listed phone number is (801) 264-4444.

What is Rocky Mountain Retina Consultants's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Rocky Mountain Retina Consultants enrolled in Medicare?

Yes. Rocky Mountain Retina Consultants is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rocky Mountain Retina Consultants?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Rocky Mountain Retina Consultants. 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.

Does Rocky Mountain Retina Consultants hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0948810) is associated with this NPI, valid through July 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rocky Mountain Retina Consultants accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Rocky Mountain Retina Consultants 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 Rocky Mountain Retina Consultants was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.