ANNGELIQUE JANET BIZZARO OD
NPI 1811636228
Optometrist in South Jordan, UT
About Anngelique Janet Bizzaro Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNGELIQUE JANET BIZZARO OD (NPI 1811636228) is an individual optometrist in South Jordan, Utah, licensed in Utah (12872545-9934) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anngelique Janet Bizzaro Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Anngelique Bizzaro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Jordan, UT 84009
- Reassigned Medicare billing, Utah enrollment
- 25 clinicians in this Medicare group
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 17 clinicians in this Medicare group
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Anngelique Bizzaro's NPI number?
The NPI number for Anngelique Bizzaro is 1811636228. It was assigned to this individual provider in the NPPES registry on June 2, 2022. The provider is also known as Anngelique Janet Plante.
Where is Anngelique Bizzaro located?
Anngelique Bizzaro practices at 11514 S 4000 W Ste 103, South Jordan, UT 84009. The listed phone number is (801) 214-0327.
What is Anngelique Bizzaro's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Anngelique Bizzaro enrolled in Medicare?
Yes. Anngelique Bizzaro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Anngelique Bizzaro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anngelique Bizzaro reassigns Medicare benefits to 3 organizations: Standard Optical Co (South Jordan, UT), Ion Vision PLLC (Murray, UT) and Utah Eye Associates LLC (Salt Lake City, UT). Each 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 Anngelique Bizzaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anngelique Bizzaro accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 2 other insurers list Anngelique Bizzaro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Anngelique Bizzaro was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Anngelique Janet Bizzaro, OD · NPI 1811636228
Optometrist provider in South Jordan, Utah. Individual provider, active in the CMS NPPES registry since June 2, 2022.
## Identity
- **NPI:** 1811636228 (Entity type: Individual)
- **Enumerated:** June 2, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 12872545-9934 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 11514 S 4000 W STE 103, South Jordan, UT 84009-6016
- **Phone:** (801) 214-0327
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Standard Optical Co (NPI 1114377165, South Jordan, UT); Ion Vision PLLC (NPI 1376099432, Murray, UT); Utah Eye Associates LLC (NPI 1124876370, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1811636228) · Data from the CMS NPPES public registry.