NPIMap

Organization Active NPI

Optometric Physicians LLC

Doing business as Timpanogos Vision Center

  • Optometrist
  • Highland, UT
National Provider Identifier
1609937721
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
375345-9934 Issued in UT
Legal business name
OPTOMETRIC PHYSICIANS LLC
Doing business as
Timpanogos Vision Center
Practice address
5457 W 11000 N Ste 120
Highland, UT 84003-9191
Phone
(801) 756-9357
Fax
(801) 756-9358
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Bruce T Potts
Title
Owner
Phone
(801) 756-9357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 375345-9934 UT Primary

Addresses

Primary practice location

5457 W 11000 N Ste 120
Highland, UT 84003-9191

Mailing address

5457 W 11000 N Ste 120
Highland, UT 84003-9191
Phone (801) 756-9357

Other names 1

  • Timpanogos Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000221 UT Part B Supplier - Clinic/Group Practice 3971536988 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Pleasant Grove, UT; Highland, UT

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Optometric Physicians LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

238 E State Rd
Ste 4
Pleasant Grove, UT 84062
Phone (801) 796-1054

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1609937721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 W 11000 N STE 120",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039191",
            "telephone_number": "801-756-9357",
            "fax_number": "801-756-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 W 11000 N STE 120",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840039191",
            "telephone_number": "801-756-9357",
            "fax_number": "801-756-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-756-9357"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "375345-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timpanogos Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.