Individual provider Active NPI

Ryan Scott Orgill, O.D.

  • Optometrist
  • Grantsville, UT
National Provider Identifier
1598962755
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
66302019934 Issued in UT
Practice address
225 E Main St
Suite E
Grantsville, UT 84029-9030
Phone
(435) 249-0530
Fax
(435) 249-0532
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 66302019934 UT Primary

Addresses

Primary practice location

225 E Main St
Suite E
Grantsville, UT 84029-9030

Mailing address

225 E Main St
Suite E
Grantsville, UT 84029-9030
Phone (435) 249-0530

Other identifiers 3

IdentifierTypeStateIssuer
999000797009MedicaidUT
87017934007001OtherUTBLUE CROSS/BLUE SHIELD
87017934028001OtherUTBLUE CROSS/BLUE SHIELD

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
I20080314000055 UT Practitioner - Optometry 8921183948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

163 S
Sr112 Suite 107
Grantsville, UT 84029
Phone (435) 249-0530

163 S Sr
112 Suite 107
Grantsville, UT 84029

163 S Sr
112 Suite 107
Grantsville, UT 84029-9032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66302019934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Standard Optical Co Optometrist Past Accepting new patients
Standard Optical Company Optometrist Past Accepting new patients

Organizations & group practices 3

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1598962755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E MAIN ST",
            "address_2": "SUITE E",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299030",
            "telephone_number": "435-249-0530",
            "fax_number": "435-249-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E MAIN ST",
            "address_2": "SUITE E",
            "city": "GRANTSVILLE",
            "state": "UT",
            "postal_code": "840299030",
            "telephone_number": "435-249-0530",
            "fax_number": "435-249-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGILL",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "66302019934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999000797009",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "87017934007001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "87017934028001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grantsville, UT

Sources for this page

Verify at the official NPI Registry.