DR. MICHELE RENA AVILA O.D.
NPI 1861621724
Optometrist in Draper, UT

Active since July 13, 2009Opted out of Medicare · through Jul 24, 2027
11820 S STATE ST, SUITE 200, DRAPER, UT 84020(801) 568-0200(801) 563-0200 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michele Rena Avila O.d. NPPES

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

DR. MICHELE RENA AVILA O.D. (NPI 1861621724) is an individual optometrist in Draper, Utah, licensed in Utah (9439507-9934) and active in the NPI registry since July 2009. She has opted out of Medicare through July 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861621724
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHELE RENA AVILACredential: O.D.
Location Address11820 S STATE ST, SUITE 200Draper, UT 84020-7133
Mailing Address11820 S State St, Suite 200Draper, UT 84020-7133 · (801) 568-0200 · Fax (801) 563-0200
Fax(801) 563-0200
Sole ProprietorNo
Enumeration DateJuly 13, 2009
Last NPPES UpdateNovember 21, 2018
NPI 1861621724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in UT · 9439507-9934 Licensed in KS · 1861 Licensed in OK · 2594 Licensed in OH · 5837
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.

11820 S STATE ST, Draper, UT 84020

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Michele Rena Avila O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 24, 2017 through July 24, 2027.

Opt-Out Effective DateJuly 24, 2017
Opt-Out In Effect ThroughJuly 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84020 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.

Optometrist
11820 S STATE ST, STE. 200
DRAPER, UT 84020
Ophthalmology
11820 S STATE ST
DRAPER, UT 84020
Ophthalmology
11820 S STATE ST
DRAPER, UT 84020

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 Michele Avila's NPI number?

The NPI number for Michele Avila is 1861621724. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Michele Avila located?

Michele Avila practices at 11820 S State St Suite 200, Draper, UT 84020. The listed phone number is (801) 568-0200.

What is Michele Avila's specialty?

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

Is Michele Avila enrolled in Medicare?

No. Michele Avila has opted out of Medicare through July 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michele Avila accept?

Health plans from Molina Healthcare list Michele Avila 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 Michele Avila was last updated on November 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.