DR. SHANDI BECKWITH (OD) – Optometrist, NPI 1457926289

DR. SHANDI BECKWITH (OD) is a healthcare provider. based in Farmington, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 12264909-9934 (UT). The NPI Number for DR. SHANDI BECKWITH (OD) is 1457926289

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANDI BECKWITH (OD)
NPI
1457926289
Phone
(801) 213-3200
Address
165 N University Ave
Enumeration Date
24 May 2021
Last Update Date
21 October 2021

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8015853229
Graduation Year
2021 (5 years ago)
PAC ID
3577960384
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20210921003296
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
sbeckwith531365@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

312 OPTOMETRY in UT

Provider Addresses for DR. SHANDI BECKWITH (OD)

  • 165 N University Ave

    Farmington, UT 840252990

    Phone: (801) 213-3200

    Type: Location

  • 5126 W Daybreak Pkwy

    South Jordan, UT 840095994

    Phone: (801) 213-4500

    Type: Location

  • 1525 W 2100 S

    SALT LAKE CITY, UT 841191407

    Phone: (801) 213-9900

    Type: Mailing

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: 2021-09-21

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
I20210921003296IOptometryUTTBD

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
92004New patient complete exam of visual system4141$0
92014Established patient complete exam of visual system3232$0
92012Established patient problem focused exam of visual system2622$0
92134Imaging of retina2524$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 84025)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

How is DR. SHANDI BECKWITH (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. SHANDI BECKWITH (OD) with NPI 1457926289.
Does the file indicate DR. SHANDI BECKWITH (OD) is practicing under active NPI?
Directory data currently reports DR. SHANDI BECKWITH (OD) as active.
What is DR. SHANDI BECKWITH (OD) best known for clinically?
Directory data describes DR. SHANDI BECKWITH (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. SHANDI BECKWITH (OD) serve?
DR. SHANDI BECKWITH (OD)'s listing highlights Farmington, Utah; more addresses can appear in NPPES.
Why does DR. SHANDI BECKWITH (OD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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