Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin T Dastrup, MD

Individual provider Ophthalmology Physician · NPI 1073797809

Benjamin T Dastrup, MD is an Ophthalmology in South Ogden, Utah. Graduated from Columbia University College of Physicians and Surgeons in 2005, 21 years ago. Practices with Country Hills Eye Center, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Utah.

Years since qualifying
21
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
IN, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1483 E Ridgeline Dr Ste 100
South Ogden, UT 84405-4977
Phone: (801) 399-1149
Fax: (801) 399-0248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 875 Country Hills Dr, Ogden, UT 84403-2200 — (801) 399-1149
  • 5991 S 3500 W Ste 400, Roy, UT 84067-6702 — (801) 399-1149

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 5484681 (UT)
Ophthalmology Physician Taxonomy 207W00000X · Licence 01062307 (IN)

Record details

NPI number1073797809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2007
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address875 Country Hills Dr, Ogden, UT 84403-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2005 (21 years in practice)
Group practice Country Hills Eye Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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