Dr. Jason Edward Holmes, O.D.
Optometrist in West Jordan, UT. Individual provider (NPI-1).
NPI number1194776005
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1194776005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Edward Holmes
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 15, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 114312-9934 | UT | Yes |
Practice location
1553 W 9000 SWest Jordan, UT 84088-9219
Phone 801-561-7300 · Fax 801-561-7300
Mailing address
1553 W 9000 SWest Jordan, UT 84088-9219
Phone 801-561-7300 · Fax 801-561-7300
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 24 Optometrist providers in West Jordan · All 2,143 providers in West Jordan
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