CENTRAL UTAH OPTICAL (NPI# 1396831483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396831483 |
| Entity Type | Organization |
| Organization Name | CENTRAL UTAH OPTICAL |
| Other Organization Name | EXCEL EYE CENTER |
| Practice Address |
1735 N State St Provo UT 84604-1010 |
| Mailing Address |
1735 North State Street Provo UT 84604-1010 |
| Practice Telephone | 8013741818 |
| Practice Fax Number | 8013792959 |
| Mailing Telephone | 8013741818 |
| Mailing Fax Number | 8013792959 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | MR. RON DUNN (ADMINISTRATOR) |
| Authorized Official Telephone | 8013741818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | CIGNA DMERC | 1284570001 | 01 |
| Other Name | Type Code |
|---|---|
| Excel Eye Center | Doing Business As Name - Organization |
| Street Address |
1735 N STATE ST |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295705697 | Todd B Engen | Surgery | 1735 N State St, Provo, UT 84604-1010 | 2006-01-26 |
| 1821657222 | Reese Mark Loveless | Optometrist | 1735 N State St, Provo, UT 84604-1010 | 2019-06-10 |
| 1134674278 | Nathan Lambert | Ophthalmology | 1735 N State St, Provo, UT 84604-1010 | 2016-08-18 |
| 1467838094 | Bradley Henriksen | Ophthalmology | 1735 N State St, Provo, UT 84604-1010 | 2015-08-05 |
| 1255727905 | Christopher Ricks | Ophthalmology | 1735 N State St, Provo, UT 84604-1010 | 2015-04-09 |
| 1952664468 | Mason Antone Schmutz | Ophthalmology | 1735 N State St, Provo, UT 84604-1010 | 2012-06-19 |
| 1477870814 | Joseph S Schmutz | Ophthalmology | 1735 N State St, Provo, UT 84604-1010 | 2010-04-26 |
| 1396937074 | Justin Wilkinson | Ophthalmology | 1735 N State St, Provo, UT 84604 | 2007-08-15 |
| 1669676086 | William V Hatch | Optometrist | 1735 N State St, Provo, UT 84604-1010 | 2007-06-11 |
| 1851422703 | Excel Cosmetic Surgery Center | Surgery | 1735 N State St, Provo, UT 84604-1010 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295889376 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1200 Towne Ctr Blvd, Provo Towne Ctr, Provo, UT 84601-5947 | 2007-01-23 |
| 1265589188 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1200 Towne Centre Blvd, Spc #c, Provo, UT 84601-5947 | 2007-01-04 |
| 1477632669 | Lund Optical Company | Eyewear Supplier (Equipment, not the service) | 20 No University Ave, Provo, UT 84601 | 2006-11-06 |
| 1598779563 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1200 Towne Centre Blvd Ste B, Provo, UT 84601 | 2006-07-28 |
| 1376832071 | Utah Valley Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 1055 N 300 W Ste 204, Provo, UT 84604-3374 | 2011-04-04 |
| 1497924534 | Canyon Crest Optical | Eyewear Supplier (Equipment, not the service) | 3200 N Canyon Rd, Suite A, Provo, UT 84604-4571 | 2008-02-22 |
| 1083817944 | Blaine F. Bird, O.d., P.C. | Eyewear Supplier (Equipment, not the service) | 2255 N University Pkwy, Suite #1, Provo, UT 84604-1588 | 2007-06-07 |
| 1487748505 | Loran D Cook Md PC | Eyewear Supplier (Equipment, not the service) | 1055 N 300 W Ste 204, Provo, UT 84604-3374 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935882 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15 S River Rd # 150, St George, UT 84790-2106 | 2020-06-08 |
| 1265088074 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 846 Expressway Ln, Spanish Fork, UT 84660-1300 | 2019-08-16 |
| 1407412885 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1520 W 9000 S Ste E, West Jordan, UT 84088-8001 | 2019-05-11 |
| 1043876428 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2843 S 5600 W Ste 170, West Valley City, UT 84120-6089 | 2019-05-11 |
| 1134785512 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2035 Harris Blvd Ste C, Layton, UT 84041-1655 | 2019-05-11 |
| 1124584529 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1986 N Hill Field Rd Ste 5, Layton, UT 84041-2112 | 2019-02-11 |
| 1003383803 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 918 E 900 S, Salt Lake City, UT 84105-1402 | 2018-10-30 |
| 1356826010 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4115 Riverdale Rd, Ogden, UT 84405-3509 | 2018-09-28 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1790225696 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6117 S State St, Murray, UT 84107-7343 | 2017-02-27 |
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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.