STANDARD OPTICAL CO (NPI# 1215038724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215038724 |
| Entity Type | Organization |
| Organization Name | STANDARD OPTICAL CO |
| Practice Address |
1153 N Main St Suite A120 Logan UT 84341-2495 |
| Mailing Address |
1901 W Parkway Blvd Salt Lake City UT 84119 |
| Practice Telephone | 4357522092 |
| Practice Fax Number | 4357506734 |
| Mailing Telephone | 8018862020 |
| Mailing Fax Number | 8019540054 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-09-16 |
| Authorized Official Name | KEN ACKER (CFO) |
| Authorized Official Telephone | 8018862020 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | UT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 999000797009 | 05 | |
| UT | 1215038724 | 05 |
| 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 |
| 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 |
| 1780785238 | Standard Optical Co | Optometrist | 250 Red Cliffs Dr, St George, UT 84790-8167 | 2006-09-26 |
| Street Address |
1153 N MAIN ST SUITE A120 |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255766820 | M. Andrew Johnson D.d.s. Lc | Dentist | 1153 N Main St, Suite B-150, Logan, UT 84341-2495 | 2013-09-13 |
| 1851612725 | Jenco Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 1153 N Main St, Suite B-140, Logan, UT 84341-2495 | 2010-06-15 |
| 1104047430 | Jenco Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1153 N Main St, Suite B140, Logan, UT 84341-2495 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| 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 |
|---|---|---|---|---|
| 1821615352 | Hocking Hills Eye Care LLC | Optometrist | 31630 Chieftain Dr, Logan, OH 43138-9087 | 2020-06-30 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1689970667 | Michael Wayne Cole | Optometrist | 981s Main St 220, Logan, UT 84321-6055 | 2011-02-08 |
| 1225330673 | Northern Utah Eye Center | Optometrist | 550 E 1400 N Ste T, Logan, UT 84341-2407 | 2010-11-17 |
| 1154506012 | Eye Care for You P.C. | Optometrist | 43 E 400 N, Logan, UT 84321-4020 | 2008-01-09 |
| 1881762342 | Lucas Eye Care Pllc | Optometrist | 113 Lb and T Way, Logan, WV 25601-3485 | 2006-12-01 |
| 1265501027 | Milton C Mason | Optometrist | 498 W Hunter St, Logan, OH 43138-1105 | 2006-11-07 |
| 1104902428 | Arabel E Hatfield | Optometrist | 148 Enterprise Dr, Logan, WV 25601-3753 | 2006-10-29 |
| 1396833000 | S Louis Berta | Optometrist | 15171 Burcham Rd, Logan, OH 43138-8995 | 2006-10-10 |
| Find all providers in LOGAN | ||||
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| 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.