Organization Active NPI

20-20 Eyecare of Utah LLC

  • Optometrist
  • Taylorsville, UT
National Provider Identifier
1659609279
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
51898809934 Issued in UT
Legal business name
20-20 EYECARE OF UTAH LLC
Practice address
3544 W 6200 S
Unit #104
Taylorsville, UT 84118-3205
Phone
(801) 966-2020
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Ronald Scott Roper, O.D.NPI 1447313416
Title
Optometrist
Phone
(801) 966-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 51898809934 UT Primary

Addresses

Primary practice location

3544 W 6200 S
Unit #104
Taylorsville, UT 84118-3205

Mailing address

373 Brambleberry LN
Draper, UT 84020-9412
Phone (801) 619-8067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000923 UT Part B Supplier - Clinic/Group Practice 1153463112 Receives reassigned benefits from 1 practitioner
Practice locations: Taylorsville, UT

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1659609279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 BRAMBLEBERRY LN",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209412",
            "telephone_number": "801-619-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W 6200 S",
            "address_2": "UNIT #104",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841183205",
            "telephone_number": "801-966-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 EYECARE OF UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-966-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "51898809934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.