NPIMap

Organization Active NPI

Central Utah Optical

Doing business as Excel Optical

  • Eyewear Supplier
  • American Fork, UT
National Provider Identifier
1306549860
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
Doing business as
Excel Optical
Practice address
12 N 1100 E
American Fork, UT 84003-2952
Phone
(801) 756-9627
Fax
(801) 763-0216
NPI assigned
Mar 23, 2023
Last updated
Mar 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL UTAH OPTICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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) 374-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

12 N 1100 E
American Fork, UT 84003-2952

Mailing address

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

Other names 1

  • Excel Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Utah Optical6 organizations share this tax ID, including this one
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.

Practitioners & affiliated clinicians

Practitioners 7

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.

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": "1306549860",
    "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": "12 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032952",
            "telephone_number": "801-756-9627",
            "fax_number": "801-763-0216"
        }
    ],
    "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": "801-374-1818"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in American Fork, 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.