Modern Optical Company

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MODERN OPTICAL COMPANY

Practice address

1548 East 4500 South
Suite - 105
Salt Lake City, UT 84117

Phone

(801) 277-4690

Fax

(801) 277-4690

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert Walker Fehr Sr.

Title

President

Phone

(801) 277-4690

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1407844269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 EAST 4500 SOUTH",
            "address_2": "SUITE - 105",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84117",
            "telephone_number": "801-277-4690",
            "fax_number": "801-277-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 EAST 4500 SOUTH",
            "address_2": "SUITE - 105",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84117",
            "telephone_number": "801-277-4690",
            "fax_number": "801-277-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "FEHR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-277-4690",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Mock, PA-S
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• Eyewear Supplier in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Eyewear Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.