The Optical Shoppe is a
Eyewear Supplier based in Logan, Utah. The Optical Shoppe is licensed to practice in Utah (license number 6962612-1205) and their current practice location is
550 E 1400 N Ste T, Logan, Utah. It can be reached at their office (for appointments etc.) via phone at
(435) 752-2020.
NPI number for The Optical Shoppe is 1225330673 and their current mailing address is 550 E 1400 N Ste T, Logan, Utah. The Optical Shoppe
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225330673.
Healthcare Provider's Profile
Full Name | The Optical Shoppe |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 550 E 1400 N Ste T, Logan, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225330673
- Provider Enumeration Date: 11/17/2010
- Last Update Date: 08/29/2017
Medical Identifiers
Medical identifiers for The Optical Shoppe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225330673 | NPI | - | NPPES |
1932321460 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 8127835-9934 (Utah) | Secondary |
332H00000X | Eyewear Supplier | 6962612-1205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. The Optical Shoppe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
The Optical Shoppe 550 E 1400 N Ste T, Logan, UT 84341-2407 Ph: (435) 752-2020 | The Optical Shoppe 550 E 1400 N Ste T, Logan, UT 84341-2407 Ph: (435) 752-2020 |
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