STANDARD OPTICAL CO (NPI# 1538260021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538260021 |
| Entity Type | Organization |
| Organization Name | STANDARD OPTICAL CO |
| Practice Address |
4305 Harrison Blvd #9b Ogden UT 84403-3306 |
| Mailing Address |
1901 W Parkway Blvd Salt Lake City UT 84119 |
| Practice Telephone | 8014795060 |
| Practice Fax Number | 8014793649 |
| Mailing Telephone | 8018862020 |
| Mailing Fax Number | 8019540054 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-09-15 |
| 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 | DMBA | 241764 | 01 |
| UT | 999000797009 | 05 | |
| UT | 1538260021 | 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 |
| 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 |
4305 HARRISON BLVD #9B |
| City | OGDEN |
| State | UT |
| Zip Code | 84403-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
| 1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
| 1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
| 1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
| 1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
| 1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
| 1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
| 1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
| 1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
| 1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
| Find all providers in zip 84403 | ||||
| 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 |
|---|---|---|---|---|
| 1841820792 | Clifford Parker | Optometrist | 4283 Harrison Blvd, Ogden, UT 84403-3101 | 2020-01-20 |
| 1568955623 | Taylor Woodward Linton | Optometrist | 4403 Harrison Blvd Ste 3600, Ogden, UT 84403-3285 | 2018-06-12 |
| 1356420590 | Greg Michael Wenom | Optometrist | 5735 Harrison Blvd, Ogden, UT 84403-4324 | 2006-11-06 |
| 1659384204 | Dr. Dale A. Woodfield and Associates, LLC | Optometrist | 3651 Wall Ave, 1226, Ogden, UT 84405-7110 | 2006-08-14 |
| 1336175298 | Lincoln Dygert | Optometrist | 3475 Harrison Blvd, Ogden, UT 84403-1230 | 2006-06-23 |
| 1275569444 | Rich H Humpherys | Optometrist | 1055 N Washington Blvd, Ogden, UT 84404-3605 | 2006-06-23 |
| 1750351441 | Scott David Peterson | Optometrist | 3988 Washington Blvd, Ogden, UT 84403-1826 | 2006-01-25 |
| 1639155617 | Greg M. Pickett | Optometrist | 1196 30th St, Ogden, UT 84403-0353 | 2005-12-21 |
| 1659355212 | Frank Louis Salimeno | Optometrist | 5089 S Adams Ave, Ste C, Ogden, UT 84403-4126 | 2005-12-06 |
| 1780679613 | Court Russell Wilkins | Optometrist | 4360 Washighton Blvd, Ogden, UT 84403 | 2005-09-16 |
| Find all providers in OGDEN | ||||
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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.