Abundo Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3097889934 Issued in UT

Legal business name

ABUNDO EYE CARE LLC

Practice address

579 Fort Union Blvd
Midvale, UT 84047-2213

Phone

(801) 255-8500

Fax

(801) 255-2334

NPI assigned

Dec 26, 2008

Last updated

Dec 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roland Espeleta Abundo, O.D.NPI 1013970235

Title

Optometrist

Phone

(801) 255-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roland Espeleta Abundo, O.D.

  • Optometrist
  • Midvale, UT
  • NPI 1013970235
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1700022688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 FORT UNION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472213",
            "telephone_number": "801-255-8500",
            "fax_number": "801-255-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 FORT UNION BLVD",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472213",
            "telephone_number": "801-255-8500",
            "fax_number": "801-255-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDO EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "ABUNDO",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "ESPELETA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-255-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "3097889934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5700550715003",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Abe, LMT
• Abes Transportation LLC
• Above and Beyond ABA Ut LLC (Above and Beyond Therapy)
• Jeremy Brian Abrams, D.M.D.
• Nicholas Michael Absalom, MD
• Roland Espeleta Abundo, O.D.
• Gabrielle Acord, LCSW
• David B Adams, PH.D
• Ronald Cade Adams, PHARMD
• Advanced Acupuncture Clinic,Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.