NPIMap

Organization Active NPI

Cataract & Lasik Center of Utah PC

  • Ambulatory Surgical Clinic/Center
  • Pleasant Grove, UT
National Provider Identifier
1164613790
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2619191205 Issued in UT
Legal business name
CATARACT & LASIK CENTER OF UTAH PC
Practice address
1972 W Grove Pkwy Ste 200
Pleasant Grove, UT 84062-6729
Phone
(801) 224-6767
Fax
(801) 221-1052
NPI assigned
Aug 8, 2007
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Jamie M Monroe, MDNPI 1619075678
Title
Director/Surgeon
Phone
(801) 224-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2619191205 UT Primary

Addresses

Primary practice location

1972 W Grove Pkwy Ste 200
Pleasant Grove, UT 84062-6729

Mailing address

1972 W Grove Pkwy Ste 200
Pleasant Grove, UT 84062-6729
Phone (801) 224-6767

Other identifiers 2

IdentifierTypeStateIssuer
1164613790OtherUTFACILITY NPI
490000734OtherUTRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050324000470 UT Part B Supplier - Clinic/Group Practice 6800842683 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orem, UT
O20080528000581 UT Part B Supplier - Ambulatory Surgical Center 6800842683 Practice locations: Pleasant Grove, UT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cataract and Lasik Center of Utah Dba Utah Eye CentersCCN 46C0001005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

175 N 400 W
#C10
Orem, UT 84057
Phone (801) 224-6767

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1164613790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 W GROVE PKWY STE 200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626729",
            "telephone_number": "801-224-6767",
            "fax_number": "801-221-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 W GROVE PKWY STE 200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840626729",
            "telephone_number": "801-224-6767",
            "fax_number": "801-221-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATARACT & LASIK CENTER OF UTAH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/SURGEON",
        "authorized_official_telephone_number": "801-224-6767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "2619191205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1164613790",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490000734",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.