Utah Vision Development Center, LLC
NPI 1104123801 · Optometrist · South Jordan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Utah Vision Development Center, LLC is a Optometrist organization in South Jordan, UT (NPI 1104123801).
Provider details
- NPI number
- 1104123801
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jarrod Davies, Optometrist(801) 810-1060
- License
- 7383319-9934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2020-06-02
- Certified
- 2020-06-02
Frequently asked questions
- What is Utah Vision Development Center, LLC's NPI number?
- Utah Vision Development Center, LLC's National Provider Identifier (NPI) is 1104123801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Utah Vision Development Center, LLC?
- Utah Vision Development Center, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Utah Vision Development Center, LLC located?
- Utah Vision Development Center, LLC's practice location on file with NPPES is 3672 W South Jordan Pkwy, South Jordan, UT 84009-7171.
- What is Utah Vision Development Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Utah Vision Development Center, LLC is (801) 810-1060.
- Does Utah Vision Development Center, LLC accept Medicare?
- Utah Vision Development Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Utah Vision Development Center, LLC?
- The authorized official listed on Utah Vision Development Center, LLC's NPPES record is Jarrod Davies, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Utah Vision Development Center, LLC's NPI active?
- Yes — Utah Vision Development Center, LLC's NPI (1104123801) is active in the NPPES registry as of the last update on 2020-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.