Standard Optical Co

LBN: Standard Optical Co
Standard Optical Co is an health care organization with primary practice located at 4878 Highland Dr Creekside Plaza, Holladay UT 84117-6007. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Standard Optical Co can be contacted via phone (801) 272-8861, or through Woods, Alysa via phone (801) 886-2020.

Contact Information

Primary practice address
4878 Highland Dr Creekside Plaza Holladay UT 84117-6007
Phone: (801) 272-8861
Fax: (801) 272-8867
Website:
Map and Directions
Authorized official contact:
Name: Woods, Alysa
Phone: (801) 886-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Utah
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Utah

Profile Details

NPI number 1043311582
LBN Legal business name Standard Optical Co
DBA Doing business as
Authorized official Woods, Alysa
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Mar 23rd, 2021 - about 4 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 1043311582 NPPES
Utah MEDICAID 999000797009
Utah Other 269929
Utah Other 920555
Utah MEDICAID 1043311582

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