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

Dix Pettey, OD, MS

Individual provider Optometrist · NPI 1629457262

Dix Pettey, OD, MS is an Optometry in Salt Lake City, Utah. Graduated from Ohio State University - College of Optometry in 2010, 16 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
16
Trained at
Ohio State University - College of Optometry
Licensed in
UT
In the registry since
2015
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

65 S Mario Capecchi Dr
Salt Lake City, UT 84132-0005
Phone: (801) 581-2352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9418444-9934 (UT)

Record details

NPI number1629457262
Entity typeIndividual (Type 1)
GenderMale
Credentials OD , MS
Sole proprietorNo
NPI enumeratedMay 28, 2015
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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