Provider Demographics
NPI:1306805007
Name:CUMMINGS, DARIN R (OD)
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:R
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 E 450 N
Mailing Address - Street 2:
Mailing Address - City:EPHRAIM
Mailing Address - State:UT
Mailing Address - Zip Code:84627-4027
Mailing Address - Country:US
Mailing Address - Phone:435-283-5555
Mailing Address - Fax:435-283-8642
Practice Address - Street 1:43 E 450 N
Practice Address - Street 2:
Practice Address - City:EPHRAIM
Practice Address - State:UT
Practice Address - Zip Code:84627-4027
Practice Address - Country:US
Practice Address - Phone:435-283-5555
Practice Address - Fax:435-283-8642
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2846438904152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT107008974104OtherSELECT HEALTH
UT328071OtherALTIUS HEALTH PLANS
UT59306OtherPEHP
UT02846439903001OtherREGENCE BLUECROSS/BLUE SH
2004532OtherUNITED HEALTHCARE
639164OtherDESERET MUTUAL BENEFIT AD
UT02846439903001OtherREGENCE BLUECROSS/BLUE SH
UTU81469Medicare UPIN
UT000061722Medicare PIN