Active NPI
Central Utah Optical
Doing business as Excel Optical
- Eyewear Supplier
- Payson, UT
National Provider Identifier
1134822604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- CENTRAL UTAH OPTICAL
- Doing business as
- Excel Optical
- Practice address
- 1172 E 100 N
Payson, UT 84651-1667 - Phone
- (801) 465-2575
- Fax
- (801) 465-0629
- NPI assigned
- Mar 23, 2023
- Last updated
- Mar 23, 2023
- Organization subpart
- Yes
- Parent organization
- CENTRAL UTAH OPTICAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittney Wachter
- Title
- Ceo
- Phone
- (801) 379-2904
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
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
- Excel Optical
National Provider Directory
National Provider Directory- Tax ID family
- Central Utah Optical
- Part of
- Central Utah Optical
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Taylar Karleen Cazier
- Ccrmed Inc (central utah pathology)
- Ccrmed Inc Corp (central utah pathology)
- Central Utah Clinic, P.C. (Revere Health)
- Central Utah Clinic, P.C. (Revere Health)
- Central Utah Pathology LLC
- Stephen Bret Chipman, MD
- James Dean Christensen, APRN
- Janie S Christensen, CRNA
- Kurt L Christensen, CRNA
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.