SUGARHOUSE VISION CLINIC
NPI 1912100348
Optometrist in Salt Lake City, UT
About Sugarhouse Vision Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUGARHOUSE VISION CLINIC (NPI 1912100348) is a healthcare organization registered as an optometrist in Salt Lake City, Utah and active in the NPI registry since June 2007. The organization lists Todd Kimball, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Sugarhouse Vision Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sugarhouse Vision Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Sugarhouse Vision Clinic's NPI number?
The NPI number for Sugarhouse Vision Clinic is 1912100348. It was assigned to this organization in the NPPES registry on June 5, 2007.
Where is Sugarhouse Vision Clinic located?
Sugarhouse Vision Clinic is located at 2178 S 900 E Ste 4, Salt Lake City, UT 84106. The listed phone number is (801) 484-2020.
What is Sugarhouse Vision Clinic's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sugarhouse Vision Clinic enrolled in Medicare?
Yes. Sugarhouse Vision Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sugarhouse Vision Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Sugarhouse Vision Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sugarhouse Vision Clinic accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Sugarhouse Vision Clinic 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 Sugarhouse Vision Clinic was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Sugarhouse Vision Clinic · NPI 1912100348
Optometrist organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since June 5, 2007.
## Identity
- **NPI:** 1912100348 (Entity type: Organization)
- **Enumerated:** June 5, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Todd Kimball, PRESIDENT
## Practice location
- **Address:** 2178 S 900 E STE 4, Salt Lake City, UT 84106-2388
- **Phone:** (801) 484-2020 · **Fax:** (801) 466-2865
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 14, 2016
- **Other identifiers:** Medicare NSC 0635700001 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1912100348) · Data from the CMS NPPES public registry.