Central Utah Eye Associates – Plastic and Reconstructive Surgery Physician, NPI 1851422703

Central Utah Eye Associates is a healthcare provider. based in Provo, Utah. specializing in Plastic and Reconstructive Surgery Physician. The organization holds a License No. 3591001205 (UT). The NPI Number for Central Utah Eye Associates is 1851422703

Main info

Organization
Name
Central Utah Eye Associates
NPI
1851422703
Phone
(801) 379-2900
Address
1735 N STATE ST
Authorized Official
MR. DALE BLAKE ADMINISTRATOR
Enumeration Date
9 March 2007
Last Update Date
19 August 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Central Utah Eye Associates

  • 1735 N STATE ST

    PROVO, UT 846041010

    Phone: (801) 379-2900

    Fax: (801) 374-6295

    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: 2009-03-12

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
O20090312000576OClinic/Group PracticeUTTBD

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 84604)

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Reviews

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Frequently asked questions

What NPI should I save for Central Utah Eye Associates?
Save NPI 1851422703 if you need a stable reference for Central Utah Eye Associates.
Does this profile mean Central Utah Eye Associates is currently active?
Yes — Central Utah Eye Associates appears active in the national provider directory.
Can you summarize Central Utah Eye Associates's specialty in plain language?
Clinically, the directory lists Central Utah Eye Associates with Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is Central Utah Eye Associates's primary listing?
We display Provo, Utah because that is what the record indicates for Central Utah Eye Associates.
How can I contact Central Utah Eye Associates?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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