Active NPI
Roland K Monson, OD
- Corneal and Contact Management Optometrist
- Provo, UT
National Provider Identifier
1811952799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 109118-9934
- Practice address
- 2230 N University Pkwy
Building 10a
Provo, UT 84604-1509 - Phone
- (801) 373-4550
- Fax
- (801) 373-8634
- NPI assigned
- Apr 20, 2006
- Last updated
- Dec 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 109118-9934 | UT | Primary |
Addresses
Primary practice location
2230 N University Pkwy
Building 10a
Provo, UT 84604-1509
Mailing address
2230 N University Pkwy
Building 10a
Provo, UT 84604-1509
Phone (801) 373-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109118-9934 | UT | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic & Contact Lens Center of Utah Valley PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Provo, UT
- NPI 1831405919
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dba Eye Clinic & Aesthetics of Provo
- Optometrist
- Provo, UT
- NPI 1336336080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1811952799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 N UNIVERSITY PKWY",
"address_2": "BUILDING 10A",
"city": "PROVO",
"state": "UT",
"postal_code": "846041509",
"telephone_number": "801-373-4550",
"fax_number": "801-373-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 N UNIVERSITY PKWY",
"address_2": "BUILDING 10A",
"city": "PROVO",
"state": "UT",
"postal_code": "846041509",
"telephone_number": "801-373-4550",
"fax_number": "801-373-8634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONSON",
"first_name": "ROLAND",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "UT",
"license": "109118-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.