Standard Optical

Primary specialty

OptometristTaxonomy code 152W00000X

License

56820809934 Issued in UT

Legal business name

STANDARD OPTICAL

Practice address

1656 West 9000 South
West Jordan, UT 84088

Phone

(801) 255-5454

Fax

(801) 255-1109

NPI assigned

Aug 5, 2008

Organization subpart

No

Name

Kenneth A Acker, CFO

Title

Cfo

Phone

(801) 886-2020

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

• Kerry Smithson, OD

  • Optometrist
  • Taylorsville, UT
  • NPI 1407968969
  NPD (past)

Tax ID family

Standard Optical2 organizations share this tax ID

Corporate family (same tax ID) 1

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

• Standard Optical Company

  • Optometrist
  • West Point, UT
  • NPI 1659958841
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2008.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1386800639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 WEST PARKWAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84119",
            "telephone_number": "801-886-2020",
            "fax_number": "801-934-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 WEST 9000 SOUTH",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84088",
            "telephone_number": "801-255-5454",
            "fax_number": "801-255-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ACKER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-886-2020",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "56820809934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999000797009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaden Spencer
• Stephanie Spencer
• Spine and Orthopedic Specialists of Utah
• Caroline Spolidoro
• Robert Joseph Staley, D.M.D
• Standard Optical Co
• Jacqueline Stanworth
• Logan Starhallow
• Alyssa Starkie
• Starlight Sprouts ABA Therapy LLC

• All providers in West Jordan, UT
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.