Lund Optical Company

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

LUND OPTICAL COMPANY

Practice address

20 No University Ave
Provo, UT 84601

Phone

(801) 375-1333

Fax

(801) 375-1348

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William G Lund Jr.

Title

Owner

Phone

(801) 375-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Mark Matthew McKell, O.D.

  • Optometrist
  • Nampa, ID
  • NPI 1396853974
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477632669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NO UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84601",
            "telephone_number": "801-375-1333",
            "fax_number": "801-375-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NO UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84601",
            "telephone_number": "801-375-1333",
            "fax_number": "801-375-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUND OPTICAL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-375-1333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990002164009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cortnie Lueckler, LCSW
• Abish Shelem Lugo
• Lori Ann Luke
• Tanner Luke, DPM
• Lunara Womens Health
• Anthon Paul Lund
• Emma Lund, PT, DPT
• Trace Michael Lund, DDS
• Gary Barlow Lundberg, M.A. - LMFT
• Hope Elizabeth Lundberg

• Eyewear Supplier in Provo, UT
• Providers in Provo, UT by specialty
• Eyewear Supplier in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.