SALT LAKE RETINA, LLC
SALT LAKE RETINA, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1144622234, based in West Jordan, UT. The organization lists 2 taxonomy classifications, with Retina Specialist (Ophthalmology) Physician recorded as primary.
Getting there
The practice address on file is 3855 W 7800 S SUITE 100, West Jordan, UT 84088. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 5934492-1205 | UT | Ophthalmology Physician |
This provider holds licence 5934492-1205 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0042430282
- Enrollment ID
- O20141009002404
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Retina Specialist covers
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. NUCC Health Care Provider Taxonomy, code 207WX0107X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207W00000X | Ophthalmology Physician | — | — | |
| 207W00000X | Ophthalmology Physician | 5934492-1205 | UT | |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician Retina Specialist | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1144622234 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 19, 2014 |
| Last updated | Apr 10, 2023 |
| Status | Active |
| Practice address |
3855 W 7800 S SUITE 100 West Jordan, UT 84088 (801) 260-0034 Fax (801) 260-0035 |
| Other names |
Salt Lake Retina Former Legal Name |
| Other identifiers |
1508052234
· Medicaid (UT) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 4 | 4 | 6 | 2 | 2 | 2 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 8 | 4 | 3 | 2 | 4 | 2 | 6 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.