DR. STEPHEN BROCKBANK (O.D.) – Optometrist, NPI 1508973397
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
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Provider Addresses for DR. STEPHEN BROCKBANK (O.D.)
Salt Lake City, Salt Lake County, Utah, United States
SUITE 110
SALT LAKE CITY, UT 841012174
Phone: (801) 456-2020
Fax: (801) 456-2021
Type: Location
2847, North 1050 East, Lehi, Utah County, Utah, 84043, United States
LEHI, UT 840434033
Phone: (801) 456-2020
Fax: (801) 456-2021
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Alcon Vision LLC ($44).
Total Amount
$107
General + Research + Ownership
Payments
6
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $44 |
| Johnson & Johnson Vision Care, Inc. | $38 |
| ABBVIE INC. | $24 |
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: 2004-09-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040919000015 | I | Optometry | UT | TBD |
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.
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 84101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | UT | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | UT |
Reviews
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