Specialized Optical Company

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SPECIALIZED OPTICAL COMPANY

Practice address

5735 Harrison Blvd
South Ogden, UT 84403-4324

Phone

(801) 393-9440

NPI assigned

Oct 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ross Clausse, OPTICIAN

Title

Owner

Phone

(801) 393-9440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Greg Michael Wenom, O.D.

  • Optometrist
  • Ogden, UT
  • NPI 1356420590
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1194914010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 HARRISON BLVD",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034324",
            "telephone_number": "801-393-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 HARRISON BLVD",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034324",
            "telephone_number": "801-393-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "CLAUSSE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-393-9440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Davis Smith, BCBA
• South Ogden City Corporation
• South Ogden Operations, LLC
• South Ogden Smiles, PC
• South Ogden Specialty Surgical Center, LLC
• Stephen Reese Spencer, PT
• Fereti Spitzenberg Jr.
• Jayne Deane Sprafke, LCSW
• St. John Therapeutic Services Inc.
• Karissa Stadtfeld, RBT

• Eyewear Supplier in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Eyewear Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.

Verify at the official NPI Registry.