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

Dr. Jeffrey L Broadhead, OD

Individual provider Optometrist · NPI 1306829569

Dr. Jeffrey L Broadhead, OD is an Optometry in South Jordan, Utah. Graduated from Pacific University - College of Optometry in 1998, 28 years ago. Practices with Progressive Eye Care, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
28
Trained at
Pacific University - College of Optometry
Licensed in
UT
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3556 W 9800 S Ste 104
South Jordan, UT 84095-3211 Not confirmed with CMS for 11 years — call before visiting
Phone: (801) 253-6590
Fax: (801) 253-6591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4826018-9934 (UT)

Record details

NPI number1306829569
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 22, 2005
Last updated in NPPESJune 23, 2015

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1998 (28 years in practice)
Group practice Progressive Eye Care, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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