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HIGHLAND OFFICE SUB-PART
NPI 1700087335
Optometrist in Highland, UT

Active since May 30, 2007
5455 W 11000 N, SUITE 101, HIGHLAND, UT 84003(801) 756-9357(801) 756-9358 Get Directions Write a Review

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

About Highland Office Sub-part NPPES

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

HIGHLAND OFFICE SUB-PART (NPI 1700087335) is a healthcare organization registered as an optometrist in Highland, Utah and active in the NPI registry since May 2007. The organization lists Kevin Jay Fromm, Manager, as its authorized official.

NPPES Registry Identity

NPI1700087335
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTOMETRIC PHYSICIAN LLC
Location Address5455 W 11000 N, SUITE 101Highland, UT 84003-8800
Mailing Address5455 W 11000 N, Suite 101Highland, UT 84003-8800 · (801) 756-9357 · Fax (801) 756-9358
Phone(801) 756-9357
Fax(801) 756-9358
Organization SubpartNo
Authorized OfficialKevin Jay FrommManager · (801) 756-9357
Enumeration DateMay 30, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1700087335 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.
5455 W 11000 N, Highland, UT 84003
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Other Names 1

Other NameHighland 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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Highland Office Sub-Part, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Bruce Potts, O.D.
Optometry
NPI 1598794281
5455 W 11000 N STE 101
Highland, UT 84003
(801) 756-9357
✔ PECOS✔ Accepts Medicare6.3 mi
Aaron King
Optometry
NPI 1790210011
742 N 530 E
Orem, UT 84097
(801) 224-4799
✔ PECOS✔ Accepts Medicare11 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 Physician LLC's NPI number?

The NPI number for Optometric Physician LLC is 1700087335. It was assigned to this organization in the NPPES registry on May 30, 2007. The provider is also known as Highland Office Sub-Part.

Where is Optometric Physician LLC located?

Optometric Physician LLC is located at 5455 W 11000 N Suite 101, Highland, UT 84003. The listed phone number is (801) 756-9357.

What is Optometric Physician LLC's specialty?

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

Is Optometric Physician LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Optometric Physician LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Optometric Physician 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, 1 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 Physician 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.