Standard Optical Co | |
1455 S State St, Orem, UT 84097-7748 | |
(801) 226-3044 | |
(801) 802-7326 |
Full Name | Standard Optical Co |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1455 S State St, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093816548 | NPI | - | NPPES |
1174624787 | Other | UT | BILLING OFFICE NPI |
1093816548 | Other | UT | STORE NPI |
116257 | Other | UT | DMBA |
999000797009 | Medicaid | UT | |
1174624787 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Utah) | Primary |
Provider Name | Brent L Hadlock |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578648564 PECOS PAC ID: 1759283179 Enrollment ID: I20040124000311 |
Provider Name | Lynn D Stromness |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073694212 PECOS PAC ID: 5698751253 Enrollment ID: I20040628000638 |
Provider Name | Curtis W Millet |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497844690 PECOS PAC ID: 8022054014 Enrollment ID: I20050629001125 |
Provider Name | Duane C Knowles |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306935523 PECOS PAC ID: 7315983160 Enrollment ID: I20050630001193 |
Provider Name | Stephen C Lewis |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184653818 PECOS PAC ID: 2466485578 Enrollment ID: I20050917000517 |
Provider Name | Russell W Purdy |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295823029 PECOS PAC ID: 6709807779 Enrollment ID: I20051219000335 |
Provider Name | Michael S Marty |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497743942 PECOS PAC ID: 5092817304 Enrollment ID: I20070216000224 |
Provider Name | Franklin M Edmunds |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578560165 PECOS PAC ID: 3678670429 Enrollment ID: I20070514000186 |
Provider Name | Michael D Conklin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013015650 PECOS PAC ID: 9234214263 Enrollment ID: I20080314000104 |
Provider Name | David A Meyer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255562740 PECOS PAC ID: 3870619711 Enrollment ID: I20100928001053 |
Provider Name | John W Ellison |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376713586 PECOS PAC ID: 5799678306 Enrollment ID: I20130927000440 |
Provider Name | William C Catt |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578849170 PECOS PAC ID: 5193041788 Enrollment ID: I20150225001419 |
Provider Name | Andrew Gc Helman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104050483 PECOS PAC ID: 4981924255 Enrollment ID: I20151014003065 |
Provider Name | Charles H Kinney |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124004338 PECOS PAC ID: 5294740379 Enrollment ID: I20160105001876 |
Provider Name | Jenna M Obrien |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427452325 PECOS PAC ID: 1951624626 Enrollment ID: I20161202000584 |
Provider Name | James D Mckell |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356851430 PECOS PAC ID: 6901164037 Enrollment ID: I20171219003401 |
Provider Name | Rochelle Ann Myers |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134262637 PECOS PAC ID: 2769583814 Enrollment ID: I20180322001231 |
Provider Name | Robert Kimball Roden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407337280 PECOS PAC ID: 7416281621 Enrollment ID: I20190621001679 |
Provider Name | Jamison Langston |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669031175 PECOS PAC ID: 5799011623 Enrollment ID: I20190730001749 |
Provider Name | Clifford J Parker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841820792 PECOS PAC ID: 6800223660 Enrollment ID: I20200303001723 |
Provider Name | Golden T Smith |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154432938 PECOS PAC ID: 0648203174 Enrollment ID: I20200610000366 |
Provider Name | Joshua D Roberts |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1497373732 PECOS PAC ID: 6608291430 Enrollment ID: I20200804003079 |
Provider Name | Russell R Slaugh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659684751 PECOS PAC ID: 0941472534 Enrollment ID: I20200810002638 |
Provider Name | Jordan D Webb |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275100430 PECOS PAC ID: 8527464007 Enrollment ID: I20210908003431 |
Provider Name | Terrence S Spencer |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538124292 PECOS PAC ID: 8325080336 Enrollment ID: I20211025002841 |
Provider Name | Benjamin M Collins |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174752174 PECOS PAC ID: 2961548904 Enrollment ID: I20220713003472 |
Provider Name | Anngelique J Bizzaro |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811636228 PECOS PAC ID: 1759762024 Enrollment ID: I20220718002178 |
Mailing Address | Practice Location Address |
---|---|
Standard Optical Co 1901 W Parkway Blvd, Salt Lake City, UT 84119 Ph: (801) 886-2020 | Standard Optical Co 1455 S State St, Orem, UT 84097-7748 Ph: (801) 226-3044 |
Solomon Campbell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 209 N State St, Orem, UT 84057 Phone: 801-224-4799 Fax: 801-434-4051 | |
Cook Family Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 574 W 1600 N, Orem, UT 84057 Phone: 801-210-9339 Fax: 801-960-2887 | |
Thomas L. Mitchell, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 175 W Center St, Orem, UT 84057 Phone: 801-225-6534 | |
Vega Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 560 S State St Ste A265, Orem, UT 84058 Phone: 971-217-9763 | |
Eye Physicians Of Utah Optometrist Medicare: Not Enrolled in Medicare Practice Location: 845 N 100 W, Suite 110, Orem, UT 84057 Phone: 801-889-8420 | |
Dr. Douglas Stewart Satterfield, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 575 University Pkwy, University Mall H-155, Orem, UT 84097 Phone: 801-225-3920 |