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Contact Information

STANDARD OPTICAL CO
4878 HIGHLAND DR
CREEKSIDE PLAZA
HOLLADAY, UT84117-6007
 Phone: 801-272-8861
 Fax: 801-272-8867
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for STANDARD OPTICAL CO

NPI # 1043311582
LBN Legal business name STANDARD OPTICAL CO
Authorized official ALYSA WOODS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 03/23/2021 - About 5 years ago
Identifiers
UT Medicaid 1043311582
UT Medicaid 999000797009
UT Other 269929 ALTIUS
UT Other 920555 DMBA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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