Classic Optical

LBN: Classic Optical
Classic Optical is an health care organization with primary practice located at 192 E 4500 S , Murray UT 84107-2628. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Classic Optical can be contacted via phone (801) 261-2020, or through Wirts, J Ray via phone (801) 261-2020.

Contact Information

Primary practice address
192 E 4500 S Murray UT 84107-2628
Phone: (801) 261-2020
Fax: (801) 261-2052
Website:
Map and Directions
Authorized official contact:
Name: Wirts, J Ray Doctor of Optometry (OD)
Phone: (801) 261-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1092209934 Utah

Profile Details

NPI number 1972786572
LBN Legal business name Classic Optical
DBA Doing business as
Authorized official Wirts, J Ray Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Dec 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972786572 NPPES
Utah MEDICAID 567804848008

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