NPIMap

Organization Active NPI

Central Utah Optical

  • Eyewear Supplier
  • Payson, UT
National Provider Identifier
1134822604
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CENTRAL UTAH OPTICAL
Practice address
1172 E 100 N
Payson, UT 84651-1667
Phone
(801) 465-2575
Fax
(801) 465-0629
NPI assigned
Mar 23, 2023
Organization subpart
Yes
Parent organization
CENTRAL UTAH OPTICALAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Brittney Wachter
Title
Ceo
Phone
(801) 379-2904

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Central Utah Optical (6 organizations share this tax ID)
Part of
Central Utah Optical

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1172 E 100 N
Payson, UT 84651-1667

Mailing address

1735 N State St
Provo, UT 84604-1010
Phone (801) 374-1818

Other names 1

NPPES NPI Registry
  • Excel Optical Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2023.

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1134822604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041010",
            "telephone_number": "801-374-1818",
            "fax_number": "801-374-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E 100 N",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511667",
            "telephone_number": "801-465-2575",
            "fax_number": "801-465-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL UTAH OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL UTAH OPTICAL",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "WACHTER",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-379-2904"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.