Ana Schroeder, OD
Individual provider Active NPI Optometrist · South Jordan, UT
NPI 1194518753 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1194518753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 14222825-9934 (UT)
- Practice address
- 10654 S River Heights Dr Ste 110
South Jordan, UT 84095-5523 - Phone
- (385) 475-5099
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10654 S River Heights Dr
Suite 110
South Jordan, UT 84095-5523
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250820002633 | UT | Practitioner - Optometry | 5597265082 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14222825-9934 | UT | MD | Optometrist |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Eye Care, LLC | Optometrist | Current |
Accepting new patients |
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients |
Locations
10654 S River Heights Dr
Ste 110
South Jordan, UT 84095
Phone (801) 676-2020
Networks
- UT PPO D-SNP
- UT PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14222825-9934 | UT | Yes |
Addresses
Primary practice location
10654 S River Heights Dr Ste 110
South Jordan, UT 84095-5523
Mailing address
5233 Settlement Dr
New Albany, OH 43054-9493
Phone (614) 352-9348
Other practice location 1
1353 S State St
Orem, UT 84097-7701
Phone (801) 225-8500
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.