Roland Espeleta Abundo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3097889934 Issued in UT

Practice address

579 Fort Union Blvd
Midvale, UT 84047-2213

Phone

(801) 255-8500

Fax

(801) 255-2334

NPI assigned

Apr 10, 2006

Last updated

Dec 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olympus Eye Associates PCGroup PAC ID 9739360181, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.49 of 100Reported as group

Quality

100

Improvement activities

40

Cost

81.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundo Eye Care LLC

  • Optometrist
  • Midvale, UT
  • NPI 1700022688
  Medicare reassignment NPD Authorized official
• Olympus Eye Associates, PC

  • Ophthalmology Physician
  • Murray, UT
  • NPI 1912202425
  Medicare reassignment Care Compare group NPD
• Vision Experts Inc

  dba Knighton Vision

  • Eyewear Supplier
  • SLC, UT
  • NPI 1639277304
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1013970235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FORT UNION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472213",
            "telephone_number": "801-255-8500",
            "fax_number": "801-255-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 FORT UNION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472213",
            "telephone_number": "801-255-8500",
            "fax_number": "801-255-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUNDO",
        "first_name": "ROLAND",
        "middle_name": "ESPELETA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "3097889934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abes Transportation LLC
• Above and Beyond ABA Ut LLC (Above and Beyond Therapy)
• Jeremy Brian Abrams, D.M.D.
• Nicholas Michael Absalom, MD
• Abundo Eye Care LLC
• Gabrielle Acord, LCSW
• David B Adams, PH.D
• Ronald Cade Adams, PHARMD
• Advanced Acupuncture Clinic,Inc
• Advantage Eye Care , P. C. (Advantage Eye Care)

• Optometrist in Midvale, UT
• Providers in Midvale, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.