Oculoplastic Surgery, Inc.
NPI 1578780805 · Ophthalmic Plastic and Reconstructive Surgery Physician · Holladay, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oculoplastic Surgery, Inc. is a Ophthalmic Plastic and Reconstructive Surgery Physician organization in Holladay, UT (NPI 1578780805).
Provider details
- NPI number
- 1578780805
- Entity type
- Organization
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Oberg, Provider/Owner(801) 363-3356
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Still Canyon Eyelid & Facial Plastic Surgery
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2023-09-29
- Certified
- 2023-09-29
Frequently asked questions
- What is Oculoplastic Surgery, Inc.'s NPI number?
- Oculoplastic Surgery, Inc.'s National Provider Identifier (NPI) is 1578780805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oculoplastic Surgery, Inc.?
- Oculoplastic Surgery, Inc. is classified in the NPPES registry as Ophthalmic Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Oculoplastic Surgery, Inc. located?
- Oculoplastic Surgery, Inc.'s practice location on file with NPPES is 5200 S Highland Dr Ste 201, Holladay, UT 84117-7003.
- What is Oculoplastic Surgery, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Oculoplastic Surgery, Inc. is (801) 363-3356.
- Does Oculoplastic Surgery, Inc. accept Medicare?
- Oculoplastic Surgery, Inc. 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 Oculoplastic Surgery, Inc.?
- The authorized official listed on Oculoplastic Surgery, Inc.'s NPPES record is Thomas Oberg, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oculoplastic Surgery, Inc.'s NPI active?
- Yes — Oculoplastic Surgery, Inc.'s NPI (1578780805) is active in the NPPES registry as of the last update on 2023-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.