Active NPI
Standard Optical Company
- Optometrist
- Harrisville, UT
National Provider Identifier
1083987994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 520
- Legal business name
- STANDARD OPTICAL COMPANY
- Practice address
- 460 N 325 E
Harrisville, UT 84404 - Phone
- (801) 827-9000
- Fax
- (801) 827-9003
- NPI assigned
- Feb 23, 2012
- Last updated
- Nov 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Schubach
- Title
- President
- Phone
- (801) 886-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 520 | UT | Primary |
Addresses
Primary practice location
460 N 325 E
Harrisville, UT 84404
Mailing address
1901 Parkway Blvd
Salt Lake City, UT 84119-2001
Phone (801) 886-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Lehi, UT
- NPI 1669031175
-
- Ophthalmology Physician
- Chico, CA
- NPI 1538124292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353024000000",
"number": "1083987994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 PARKWAY BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841192001",
"telephone_number": "801-886-2020",
"fax_number": "801-954-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 N 325 E",
"city": "HARRISVILLE",
"state": "UT",
"postal_code": "84404",
"telephone_number": "801-827-9000",
"fax_number": "801-827-9003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANDARD OPTICAL COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-23",
"last_updated": "2012-11-16",
"status": "A",
"authorized_official_last_name": "SCHUBACH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-886-2020"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.