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Department of Ophthalmology - Pediatric Division

Ophthalmology Physician in Salt Lake City, UT · enumerated 2006 · authorized official Randall Olson, Department Chair.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467497156

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Registry record

Entity type Organization (Type 2)
Legal business name Department of Ophthalmology - Pediatric Division
Practice address 100 Mario Capecchi Dr, # 3650, Salt Lake City, UT, 84112
Enumeration date Jun 18, 2006
Last updated in NPPES Sep 20, 2011

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary
152WP0200X Pediatric Optometrist Eye and Vision Services Providers Secondary
156FC0800X Contact Lens Technician/Technologist Eye and Vision Services Providers Secondary
156FC0801X Contact Lens Fitter Eye and Vision Services Providers Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Randall Olson
Title Department Chair

Other identifiers

Identifier Type State Issuer
100503637 Other NV NEVADA MEDICAID
122451400 Other WY WYOMING MEDICAID
806964900 Other ID IDAHO MEDICAID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Department of Ophthalmology - Pediatric Division?
The NPI for Department of Ophthalmology - Pediatric Division is 1467497156, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Department of Ophthalmology - Pediatric Division?
NPPES lists Randall Olson (Department Chair) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-09-20.