1386347623 NPI number — CENTRAL UTAH OPTICAL

Table of content: (NPI 1386347623)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386347623 NPI number — CENTRAL UTAH OPTICAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRAL UTAH OPTICAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386347623
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1735 N STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PROVO
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84604-1010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-374-1818
Provider Business Mailing Address Fax Number:
801-374-0163

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
118 E THRIVE DR STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84045-5554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-379-2929
Provider Business Practice Location Address Fax Number:
801-374-0163
Provider Enumeration Date:
03/24/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WACHTER
Authorized Official First Name:
BRITTNEY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
801-379-2904

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)