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

Mark A. Richey, MD

Individual provider Ophthalmology Physician · NPI 1962562157

Mark A. Richey, MD is an Ophthalmology in Provo, Utah. Graduated from University of Utah School of Medicine in 1985, 41 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
41
Trained at
University of Utah School of Medicine
Licensed in
CA, UT
In the registry since
2006
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

1145 N 500 W Ste A4
Provo, UT 84604
Phone: (801) 354-8225
Fax: (801) 418-0941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10800 Magnolia Ave, Riverside, CA 92505-3043 — (909) 353-2000

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 12670180-1205 (UT)
Ophthalmology Physician Taxonomy 207W00000X · Licence G58650 (CA)

Record details

NPI number1962562157
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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