Anngelique Janet Bizzaro, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12872545-9934 Issued in UT

Practice address

11514 S 4000 W Ste 103
South Jordan, UT 84009-6016

Phone

(801) 214-0327

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anngelique Janet Plante Former name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Eye Associates LLCGroup PAC ID 8820534886, 3 clinicians

Ion Vision PLLCGroup PAC ID 0042570426, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ion Vision PLLC

  • Optometrist
  • Murray, UT
  • NPI 1376099432
  Medicare reassignment Care Compare group NPD
• Utah Eye Associates LLC

  • Optometrist
  • Salt Lake City, UT
  • NPI 1124876370
  Medicare reassignment Care Compare group NPD
• Standard Optical Co

  • Optometrist
  • Orem, UT
  • NPI 1093816548
  Medicare reassignment NPD
• Standard Optical Company

  • Optometrist
  • West Point, UT
  • NPI 1659958841
  NPD
• Standard Optical Co

  • Optometrist
  • Holladay, UT
  • NPI 1043311582
  NPD (past)
• Standard Optical Co

  • Optometrist
  • South Jordan, UT
  • NPI 1114377165
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Roy, UT
  • NPI 1396832655
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Tooele, UT
  • NPI 1477654846
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Murray, UT
  • NPI 1508967977
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Taylorsville, UT
  • NPI 1689775041
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Layton, UT
  • NPI 1760583298
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Provo, UT
  • NPI 1891882155
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1811636228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 S 4000 W STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840096016",
            "telephone_number": "801-214-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 S 4000 W STE 103",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840096016",
            "telephone_number": "801-214-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZZARO",
        "first_name": "ANNGELIQUE",
        "middle_name": "JANET",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "12872545-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNGELIQUE",
            "last_name": "PLANTE",
            "middle_name": "JANET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Billeter, RPH
• Paul G Binks, PHD
• Brian Bird, MD
• Birdhouse Motherhood Classes
• Bishr Younis MD PLLC
• Rebecca Marie Bjorkman, APRN
• Micheal Black, L.M.T.
• Nathan Blackham, PHARMD
• Pippa Blau
• Bloom and Be Well, PLLC

• Optometrist in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.