SCOTT D FARRELL (O.D.) – Optometrist, NPI 1306096979

SCOTT D FARRELL (O.D.) is a healthcare provider. based in N salt lake, Utah. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 109860-9933 (UT). The NPI Number for SCOTT D FARRELL (O.D.) is 1306096979

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT D FARRELL (O.D.)
NPI
1306096979
Phone
(801) 448-4620
Address
640 TALON CT
Enumeration Date
19 September 2008
Last Update Date
9 September 2010

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8013779661
Graduation Year
1979 (47 years ago)
PAC ID
9436100575
Group Practice PAC ID
8820256001
Professional Enrollment ID
I20081104000051
Address ID
UT846043305PR1001X500X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

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Provider Addresses for SCOTT D FARRELL (O.D.)

  • 640, Talon Court, North Salt Lake, Davis County, Utah, 84054, United States

    N SALT LAKE, UT 840542631

    Phone: (801) 448-4620

    Fax: (801) 298-4620

    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: 2008-11-04

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
I20081104000051IOptometryUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84054)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820256001View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YTN
-NE
O P T O M E T R YNE
O P T O M E T R YCO
O P T O M E T R YOR
O P T O M E T R YCO
-MI

Reviews

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Frequently asked questions

Can I cross-check SCOTT D FARRELL (O.D.) using NPI 1306096979?
NPI 1306096979 belongs to SCOTT D FARRELL (O.D.); compare other details if you need extra assurance.
Is there an active status for SCOTT D FARRELL (O.D.)?
For scheduling context, SCOTT D FARRELL (O.D.) is shown as active in the registry.
What area of care is associated with SCOTT D FARRELL (O.D.)?
SCOTT D FARRELL (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Utah is SCOTT D FARRELL (O.D.) registered?
Use N Salt Lake, Utah as the headline location for SCOTT D FARRELL (O.D.) here.
Does SCOTT D FARRELL (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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