Kevin Shosted, O.D.
NPI 1164650685 · Optometrist · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Shosted, O.D. is a Optometrist provider in Salt Lake City, UT (NPI 1164650685).
Provider details
- NPI number
- 1164650685
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7385204-9934 (UT)
Specialties & taxonomies
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
17 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
- 2009-06-23
- Last updated
- 2012-05-04
Frequently asked questions
- What is Kevin Shosted's NPI number?
- Kevin Shosted's National Provider Identifier (NPI) is 1164650685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Shosted's specialty?
- Kevin Shosted is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kevin Shosted located?
- Kevin Shosted's practice location on file with NPPES is 2828 W 4700 S, Salt Lake City, UT 84118-2154.
- What is Kevin Shosted's phone number?
- The practice phone number listed in the NPPES registry for Kevin Shosted is (801) 281-3937.
- Does Kevin Shosted accept Medicare?
- Kevin Shosted is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Shosted's NPI active?
- Yes — Kevin Shosted's NPI (1164650685) is active in the NPPES registry as of the last update on 2012-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.