STANDARD OPTICAL CO (NPI# 1962599290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962599290 |
| Entity Type | Organization |
| Organization Name | STANDARD OPTICAL CO |
| Practice Address |
2190 Highland Dr Salt Lake City UT 84106-2807 |
| Mailing Address |
1901 W Parkway Blvd Salt Lake City UT 84119 |
| Practice Telephone | 8014874138 |
| Practice Fax Number | 8014674813 |
| Mailing Telephone | 8018862020 |
| Mailing Fax Number | 8019540054 |
| Enumeration Date | 2006-10-06 |
| 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 | 1962599290 | 05 | |
| UT | DMBA | 638852 | 01 |
| UT | MOLINA MEDICAID | PRA03404 | 01 |
| UT | 999000797009 | 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 |
| 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 |
| 1780785238 | Standard Optical Co | Optometrist | 250 Red Cliffs Dr, St George, UT 84790-8167 | 2006-09-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STANDARD OPTICAL COMPANY | No Street Add. Stated, Geneva, Ny |
| Street Address |
2190 HIGHLAND DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497844690 | Curtis Millet | Optometrist | 2190 Highland Dr, Salt Lake City, UT 84106-2807 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| 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 | 84106 |
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.