BENJAMIN T DASTRUP MD NPI 1073797809

NPI Information

  • NPI: 1073797809
  • Provider Name: BENJAMIN T DASTRUP, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1483 E RIDGELINE DR STE 100
    SOUTH OGDEN, UT
    ZIP 84405
  • Phone: (801) 399-1149

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NPI Details

Benjamin T Dastrup, MD is an ophthalmology in South Ogden, UT with 21 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Benjamin T Dastrup, MD NPI is 1073797809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:2005

The provider's business location address is:

1483 E RIDGELINE DR STE 100
SOUTH OGDEN, UT
ZIP 84405-977
Phone: (801) 399-1149
Fax: (801) 399-0248

The NPI 1073797809 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Imaging of retina (HCPCS:92134)
  • Imaging of optic nerve (HCPCS:92133)
  • Ct scan of cornea (HCPCS:92025)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Closure of tear duct opening using plug (HCPCS:68761)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Photography of the retina (HCPCS:92250)
  • New patient complete exam of visual system (HCPCS:92004)
  • Photography of content of eyes (HCPCS:92285)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 12/28/2007 and was last updated on 10/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology01062307INDIANANo
2207W00000XOphthalmology5484681UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11073797809MEDICAIDUTAH
2000069325OTHERUTAHPTAN (SELF)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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