The Optical Shoppe
LBN: Northern Utah Eye Center
The Optical Shoppe is an health care organization with primary practice located at 550 E 1400 N Ste T , Logan UT 84341-2407. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty.
Northern Utah Eye Center can be contacted via phone (435) 752-2020, or through Nilson, Christian D via phone (435) 752-2020.
Contact Information
Primary practice address
550 E 1400 N Ste T
Logan UT 84341-2407
Phone: (435) 752-2020
Fax: (435) 752-5475
Website:
Authorized official contact:
Name: Nilson, Christian D Doctor of Medicine (MD)
Phone: (435) 752-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8127835-9934 | Utah |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 6962612-1205 | Utah |
Profile Details
| NPI number | 1225330673 |
|---|---|
| LBN Legal business name | Northern Utah Eye Center |
| DBA Doing business as | The Optical Shoppe |
| Authorized official | Nilson, Christian D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 17th, 2010 |
| Last updated | Aug 29th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225330673 | NPPES |
| Utah | MEDICAID | 1932321460 |
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