WILLIAM J BOGUS (O.D.) – Optometrist, NPI 1265414569

WILLIAM J BOGUS (O.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 1106879934 (UT). The NPI Number for WILLIAM J BOGUS (O.D.) is 1265414569

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J BOGUS (O.D.)
NPI
1265414569
Phone
(801) 485-1371
Address
2319 HIGHLAND DR
Enumeration Date
14 November 2005
Last Update Date
8 July 2008

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8014851371
Graduation Year
1980 (46 years ago)
PAC ID
9537278676
Professional Enrollment ID
I20120313000601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for WILLIAM J BOGUS (O.D.)

  • 2319, Highland Drive, Sugar House, Salt Lake City, Salt Lake County, Utah, 84106, United States

    SALT LAKE CITY, UT 841062810

    Phone: (801) 485-1371

    Fax: (801) 485-0936

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120313000601IOptometryUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system8787$0
99213Established patient office or other outpatient visit, 20-29 minutes3632$0
99214Established patient office or other outpatient visit, 30-39 minutes2825$0
92004New patient complete exam of visual system1515$0
View full utilization report →

Insurance plans in this area (ZIP 84106)

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Reviews

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Frequently asked questions

What is WILLIAM J BOGUS (O.D.)'s NPI number?
WILLIAM J BOGUS (O.D.)'s NPI is 1265414569 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to WILLIAM J BOGUS (O.D.)?
You should see WILLIAM J BOGUS (O.D.) as active in CMS-hosted NPPES data.
What kind of doctor is WILLIAM J BOGUS (O.D.)?
WILLIAM J BOGUS (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is WILLIAM J BOGUS (O.D.) associated with Salt Lake City?
Public fields place WILLIAM J BOGUS (O.D.) around Salt Lake City, Utah. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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