Oculus Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OCULUS SURGERY CENTER, LLC

Practice address

214 W 1500 S Ste 200
Bountiful, UT 84010-7408

Phone

(801) 409-5001

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

James Smith

Title

Administration

Phone

(801) 409-5001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Ambulatory surgical center certification: CCN 46C0001089

Legal name

Oculus Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 9, 2025

Last certification

Apr 17, 2025

Ownership / control type

Proprietary

Facility address

214 West 1500 South
Bountiful, UT 84010

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mt Ogden Eye Center LLC

  • Ophthalmology Physician
  • Bountiful, UT
  • NPI 1740431428

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael B Wilcox, MD

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1053391771
  NPD
• Jed T Poll, MD

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1376656124
  NPD (past)

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1982423943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 1500 S STE 200",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107408",
            "telephone_number": "801-409-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULUS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "801-409-5001"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Ree Coleen O'Reilly, LCSW
• Oak Ridge Assisted Living of Bountiful
• Joshua Brad Oaks, M.D.
• Lilian Oberg-Wood
• Jon C Oberg, M.D.
• Jeffery Ray Oka, M.D.
• Kaname Kay Okawa, M.D.
• G. Scott Oldroyd, M.D.
• Anjali Oliver
• Melanie Oliver, GNP

• Ambulatory Surgical Clinic/Center in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Ambulatory Surgical Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.