Active NPI
United Ocular, LLC
- Durable Medical Equipment & Medical Supplies
- Midvale, UT
National Provider Identifier
1740056597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- UNITED OCULAR, LLC
- Practice address
- 7400 S Union Park Ave Ste 102
Midvale, UT 84047-6705 - Phone
- (801) 797-1778
- Fax
- (801) 942-1717
- NPI assigned
- Dec 1, 2023
- Last updated
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ljubisa Ernjakovic
- Title
- President
- Phone
- (801) 797-1778
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
7400 S Union Park Ave Ste 102
Midvale, UT 84047-6705
Mailing address
7400 S Union Park Ave Ste 102
Midvale, UT 84047-6705
Phone (801) 797-1778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240419002152 | UT | DME Supplier - Ocularist | 0143669374 | Practice locations: Midvale, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| United Ocular, LLC | Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1740056597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 S UNION PARK AVE STE 102",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840476705",
"telephone_number": "801-797-1778",
"fax_number": "801-942-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 S UNION PARK AVE STE 102",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840476705",
"telephone_number": "801-797-1778",
"fax_number": "801-942-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED OCULAR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-01",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "ERNJAKOVIC",
"authorized_official_first_name": "LJUBISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-797-1778"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midvale, UT
- Jack Scott Tripp, D.C.
- Melissa D Tucker, DVM
- Kristen Turner, PHARMD
- Alexa Turzian
- Union Park Surgical Center LLC
- University of Utah (Greenwood Pharmacy)
- University of Utah Community Physicians Group (UUHC - Greenwood Health Center)
- University of Utah Dental Services (UUHC Greenwood Health Center Dental Clinic)
- University of Utah Hospitals and Clinics
- Utah Autism Academy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.