NPIMap

Organization Active NPI

Regis Optical, Inc

  • Optometrist
  • Salt Lake City, UT
National Provider Identifier
1912042284
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REGIS OPTICAL, INC
Practice address
5770 S 250 E
Suite 410
Salt Lake City, UT 84107-8100
Phone
(801) 314-4410
NPI assigned
Feb 21, 2007
Last updated
Feb 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Albert Ungricht, MDNPI 1346327236
Title
Ceo
Phone
(801) 314-4410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

5770 S 250 E
Suite 410
Salt Lake City, UT 84107-8100

Mailing address

5770 S 250 E
Suite 410
Salt Lake City, UT 84107-8100
Phone (801) 314-4410

Other identifiers 1

IdentifierTypeStateIssuer
870459506001MedicaidUT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1912042284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "SUITE 410",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "SUITE 410",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIS OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "UNGRICHT",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-314-4410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870459506001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.