JASON TRENT PETERSON OD
NPI 1760837066
Optometrist in Eagle Mountain, UT

Q: What is Jason Peterson's NPI number?

The NPI number for Jason Peterson is 1760837066. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Q: What is Jason Peterson'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 Jason Peterson was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 25, 2016PECOS EnrolledAccepts Medicare Assignment

4408 E PONY EXPRESS PKWY STE A, EAGLE MOUNTAIN, UT 84005(801) 789-3937(801) 228-2420 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jason Trent Peterson Od NPPES

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

JASON TRENT PETERSON OD (NPI 1760837066) is an individual optometrist in Eagle Mountain, Utah, licensed in Utah (10382337-9934) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2017).

NPPES Registry Identity

NPI1760837066

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJASON TRENT PETERSONCredential: OD

Location Address4408 E PONY EXPRESS PKWY STE AEagle Mountain, UT 84005-5564

Mailing Address7732 N Red Oak RdEagle Mountain, UT 84005-4303 · (801) 644-3046

Phone(801) 789-3937

Fax(801) 228-2420

Sole ProprietorYes

Medical School CMSPacific University - College Of OptometryGraduated 2017

Enumeration DateApril 25, 2016

Last NPPES UpdateJune 28, 2021

NPPES CertifiedJune 28, 2021

✔ NPI 1760837066 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 · 10382337-9934

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.

4408 E PONY EXPRESS PKWY STE A, Eagle Mountain, UT 84005

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Trent Peterson 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 ID7315219920

PECOS Enrollment IDI20170816004065

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84005 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 3

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

KYLE STEWART

Optometrist

4408 E PONY EXPRESS PKWY STE A
EAGLE MOUNTAIN, UT 84005

Utah County (801) 702-8180

DR. TYLER J. BARNEY O.D.

Optometrist

4408 E PONY EXPRESS PKWY STE A
EAGLE MOUNTAIN, UT 84005

Utah County (801) 789-3937

EAGLE VISION

Optometrist

4408 E PONY EXPRESS PKWY STE A
EAGLE MOUNTAIN, UT 84005

Utah County (801) 789-3937

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 Jason Peterson's NPI number?

The NPI number for Jason Peterson is 1760837066. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Jason Peterson located?

Jason Peterson practices at 4408 E Pony Express Pkwy Ste A, Eagle Mountain, UT 84005. The listed phone number is (801) 789-3937.

What is Jason Peterson's specialty?

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

Is Jason Peterson enrolled in Medicare?

Yes. Jason Peterson 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.

What insurance does Jason Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Molina Healthcare and Providence Health Plan and 2 other insurers list Jason Peterson 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 Jason Peterson was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.