NPIMap

Organization Active NPI

Oculus Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Bountiful, UT
National Provider Identifier
1982423943
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

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

Mailing address

4360 Washington Blvd
Ogden, UT 84403-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250206000590 UT Part B Supplier - Ambulatory Surgical Center 8820528847 Practice locations: Bountiful, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982423943. Details of each certification follow.

Ambulatory surgical center certification: CCN 46C0001089

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

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

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2314239Oculus Surgery Center, LLC214 W 1500 S, Ste 200, Bountiful, UT 84010Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

214 W 1500 S
Ste 200
Bountiful, UT 84010
Phone (801) 218-2288

4360 Washington Blvd
Ogden, UT 84403
Phone (801) 476-0494

Practitioners & affiliated clinicians

Practitioners 10

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": "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": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.