Michaels Classic Optical

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

5354412-9934 Issued in UT

Legal business name

MICHAELS CLASSIC OPTICAL

Practice address

192 E 4500 S
Murray, UT 84107-2628

Phone

(801) 261-2020

Fax

(801) 261-2052

NPI assigned

Feb 2, 2010

Organization subpart

Yes

Parent organization

CONKLIN EYE CAREAs reported in NPPES

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

Authorized official

Name

Dr. Michael D Conklin, O.D.

Title

Optometrist

Phone

(801) 261-2020

Specialties & licenses 1

Addresses

Other names 1

• Classic Optical Other name

Part of

Conklin Eyecare PLLC

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1619209673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 E 4500 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841072628",
            "telephone_number": "801-261-2020",
            "fax_number": "801-261-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 E 4500 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841072628",
            "telephone_number": "801-261-2020",
            "fax_number": "801-261-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELS CLASSIC OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONKLIN EYE CARE",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "801-261-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "UT",
            "license": "5354412-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David A Meyer, OD
• Gay J Meyers, PA C
• Jennifer Meza
• Melissa Meza
• John T Michael, DNP-ACNP
• Timothy J Micklos, M.D.
• Mid-Valley Medical, LLC
• Darby Middlebrook, DPT
• Jonathan Middlemiss, PA-C
• George William Middleton, M.D.

• Corneal and Contact Management Optometrist in Murray, UT
• Providers in Murray, UT by specialty
• Corneal and Contact Management Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.