Bruce T Potts, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

375671-9934 Issued in UT

Practice address

5455 W 11000 N Ste 101
Highland, UT 84003-8801

Phone

(801) 756-9357

NPI assigned

Jul 3, 2006

Last updated

Jul 8, 2007By 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

Illinois College of Optometry at Chicago, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Physicians LLCGroup PAC ID 3971536988, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Optometric Physicians LLC

  dba Timpanogos Vision Center

  • Optometrist
  • Highland, UT
  • NPI 1609937721
  Medicare reassignment Care Compare group NPD Authorized official
• Optometric Physicians LLC

  • Optometrist
  • Pleasant Grove, UT
  • NPI 1477762805
  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598794281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 W 11000 N STE 101",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038801",
            "telephone_number": "801-756-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 11000 N STE 101",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038801",
            "telephone_number": "801-756-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "BRUCE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375671-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Management Services of Utah, LLC
• David Gordon Pierce, DC
• Spencer Pierce, D.C.
• Pioneer Medical Services, Inc.
• Brittan Plante
• Preservemd LLC (Sundwall Family Medicine)
• Eva M Price, CPM, LDEM
• Martha Proctor
• Reese & Weaver DDS LLC (Alpine Vision Center)
• Christine Kerr Renfro, APRN, C-FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.