Individual provider Active NPI

Ronald Scott Roper, O.D.

  • Optometrist
  • Taylorsville, UT
National Provider Identifier
1447313416
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5189880 Issued in UT
Practice address
3544 W 6200 S 104
Taylorsville, UT 84129-3206
Phone
(801) 966-2020
Fax
(801) 966-5038
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5189880 UT Primary

Addresses

Primary practice location

3544 W 6200 S 104
Taylorsville, UT 84129-3206

Mailing address

3544W 6200 S 104
Taylorsville, UT 84129-3206
Phone (801) 966-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070615000368 UT Practitioner - Optometry 1052410073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3544 W 6200
Suite 104
Taylorsville, UT 84129-3206
Phone (801) 966-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5189880UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
20-20 Eyecare of Utah LLC Optometrist CurrentSince Nov 30, 2009 Accepting new patients

Locations

3544 W 6200 S
Ste 104
Taylorsville, UT 84129
Phone (801) 966-2020

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1447313416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544W 6200 S 104",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841293206",
            "telephone_number": "801-966-2020",
            "fax_number": "801-966-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W 6200 S 104",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841293206",
            "telephone_number": "801-966-2020",
            "fax_number": "801-966-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "RONALD",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5189880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.