STANDARD OPTICAL CO (NPI# 1174624787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174624787 |
| Entity Type | Organization |
| Organization Name | STANDARD OPTICAL CO |
| Practice Address |
1901 W Parkway Blvd Salt Lake City UT 84119 |
| Practice Telephone | 8018862020 |
| Practice Fax Number | 8019540054 |
| Mailing Telephone | 8018862020 |
| Mailing Fax Number | 8019540054 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-01-30 |
| Authorized Official Name | ALYSA WOODS (OFFICE MANAGER) |
| Authorized Official Telephone | 8018862020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 999000797009 | 05 | |
| UT | MEDICAID (WYATT) | 1700082104 | 01 |
| UT | MOLINA MEDICAID | PRA03404 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114377165 | Standard Optical Co | Optometrist | 11514 S 4000 W, Bldg H Suite 103, South Jordan, UT 84009-6014 | 2016-06-20 |
| 1023242435 | Standard Optical Co | Optometrist | 1438 E Main St, #4, Lehi, UT 84043-3797 | 2009-05-13 |
| 1396832655 | Standard Optical Co | Optometrist | 5421 S 19th W, Roy, UT 84067 | 2006-10-06 |
| 1962599290 | Standard Optical Co | Optometrist | 2190 Highland Dr, Salt Lake City, UT 84106-2807 | 2006-10-06 |
| 1891882155 | Standard Optical Co | Optometrist | 1200 Provo Towne Centre, 1060, Provo, UT 84601 | 2006-10-06 |
| 1467553990 | Standard Optical Co | Optometrist | 140 W 5th S, Bountiful, UT 84010-6232 | 2006-09-26 |
| 1689775041 | Standard Optical Co | Optometrist | 3754 W 5400 S, Taylorsville, UT 84118-3574 | 2006-09-26 |
| 1215038724 | Standard Optical Co | Optometrist | 1153 N Main St, Suite A120, Logan, UT 84341-2495 | 2006-09-26 |
| 1508967977 | Standard Optical Co | Optometrist | 5289 S State St, Murray, UT 84107-4828 | 2006-09-26 |
| 1043311582 | Standard Optical Co | Ophthalmology | 4878 Highland Dr, Creekside Plaza, Holladay, UT 84117-6007 | 2006-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STANDARD OPTICAL COMPANY | No Street Add. Stated, Geneva, Ny |
| Street Address |
1901 W PARKWAY BLVD |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184653818 | Stephen Charles Lewis | Optometrist | 1901 W Parkway Blvd, Salt Lake City, UT 84119 | 2006-07-03 |
| 1184037285 | Jonathan Boster | Optometrist | 1901 W Parkway Blvd, Salt Lake City, UT 84119-2001 | 2014-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532894 | Meagan Miles | Optometrist | 1752 W 400 N Apt B, Salt Lake City, UT 84116-3546 | 2020-06-08 |
| 1811558554 | Ryan Garber | Optometrist | 500 Foothill Dr Salt Lake City Ut 84148, Salt Lake City, UT 84148-0001 | 2019-06-24 |
| 1346703766 | National Vision Inc | Optometrist | 1140 E Brickyard Rd Ste 23, Salt Lake City, UT 84106-2557 | 2019-04-11 |
| 1831664580 | Rocky Mountain Optical and Eye Care LLC | Optometrist | 4400 S 700 E Ste 160, Salt Lake City, UT 84107-3053 | 2018-10-09 |
| 1891216909 | Stephen Nicholas Lundquist | Optometrist | 801 S 800 E, Salt Lake City, UT 84102-3515 | 2017-06-28 |
| 1831546118 | Jeffrey Lynn Simmons | Optometrist | 1919 E Brighton Ridge Dr, Salt Lake City, UT 84121-4886 | 2016-05-17 |
| 1679953400 | Wendy Nguyen | Optometrist | 500 Foothill Drive Salt Lake City, Salt Lake City, UT 84148-0001 | 2015-06-07 |
| 1780063784 | Kaeleen Franson | Optometrist | 250 S 300 E, Salt Lake City, UT 84111-2502 | 2015-05-22 |
| 1942437058 | Michael S Peterson, Od, PC | Optometrist | 1553 Gregson Ave, Salt Lake City, UT 84106-3419 | 2009-06-16 |
| 1427241843 | Paul C Bruderer Od, PC | Optometrist | 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 | 2007-08-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84119 |
Please comment or provide details below to improve the information on STANDARD OPTICAL CO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.