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ANNGELIQUE JANET BIZZARO OD
NPI 1811636228
Optometrist in South Jordan, UT

Active since June 02, 2022PECOS EnrolledAccepts Medicare Assignment
11514 S 4000 W STE 103, SOUTH JORDAN, UT 84009(801) 214-0327 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1811636228
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANNGELIQUE JANET BIZZAROCredential: OD
Location Address11514 S 4000 W STE 103South Jordan, UT 84009-6016
Mailing Address11514 S 4000 W Ste 103South Jordan, UT 84009-6016 · (801) 214-0327
Phone(801) 214-0327
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 2, 2022
NPPES CertifiedMay 27, 2022
✔ NPI 1811636228 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 · 12872545-9934
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.
11514 S 4000 W STE 103, South Jordan, UT 84009
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Other Names 1

Former Name (1)Anngelique Janet Plante

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1759762024
PECOS Enrollment IDI20220718002178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Anngelique Bizzaro accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Providence Health Plan and 1 other insurer 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.