Organization Active NPI

United Ocular, LLC

  • Durable Medical Equipment & Medical Supplies
  • Midvale, UT
National Provider Identifier
1740056597
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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)CodeLicenseStatePrimary
OcularistGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20240419002152 UT DME Supplier - Ocularist 0143669374 Practice locations: Midvale, UT

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
United Ocular, LLC7400 S Union Park Ave Ste 102, Midvale, UT 84047-6705(801) 797-1778 Ocular Prostheses Does not accept assignmentParticipating since Feb 2, 2024

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.