PLEASANT GROVE OFFICE SUB-PART
NPI 1477762805
Optometrist in Pleasant Grove, UT

Q: What is Optometric Physicians LLC's NPI number?

The NPI number for Optometric Physicians LLC is 1477762805. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is also known as Pleasant Grove Office Sub-Part.

Q: What is Optometric Physicians LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since May 22, 2007

238 E STATE RD, SUITE 4, PLEASANT GROVE, UT 84062(801) 796-1054(801) 796-1084 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pleasant Grove Office Sub-part NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLEASANT GROVE OFFICE SUB-PART (NPI 1477762805) is a healthcare organization registered as an optometrist in Pleasant Grove, Utah and active in the NPI registry since May 2007. The organization lists Kevin Jay Fromm, Manager, as its authorized official.

NPPES Registry Identity

NPI1477762805

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOPTOMETRIC PHYSICIANS LLC

Location Address238 E STATE RD, SUITE 4Pleasant Grove, UT 84062-3620

Mailing Address238 E State Rd, Suite 4Pleasant Grove, UT 84062-3620 · (801) 796-1054 · Fax (801) 796-1084

Phone(801) 796-1054

Fax(801) 796-1084

Organization SubpartNo

Authorized OfficialKevin Jay FrommManager · (801) 796-1054

Enumeration DateMay 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1477762805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in UT · 375345-9934

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

238 E STATE RD, Pleasant Grove, UT 84062

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Other Names 1

Other NamePleasant Grove Office Sub-part

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pleasant Grove Office Sub-part is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pleasant Grove Office Sub-Part, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Aaron King

Optometry

NPI 1790210011

742 N 530 E
Orem, UT 84097

(801) 224-4799

✔ PECOS✔ Accepts Medicare4.7 mi

Bruce Potts, O.D.

Optometry

NPI 1598794281

5455 W 11000 N STE 101
Highland, UT 84003

(801) 756-9357

✔ PECOS✔ Accepts Medicare5.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optometric Physicians LLC's NPI number?

The NPI number for Optometric Physicians LLC is 1477762805. It was assigned to this organization in the NPPES registry on May 22, 2007. The provider is also known as Pleasant Grove Office Sub-Part.

Where is Optometric Physicians LLC located?

Optometric Physicians LLC is located at 238 E State Rd Suite 4, Pleasant Grove, UT 84062. The listed phone number is (801) 796-1054.

What is Optometric Physicians LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Optometric Physicians LLC enrolled in Medicare?

Yes. Optometric Physicians LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Optometric Physicians LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Optometric Physicians LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Optometric Physicians LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.