STANDARD OPTICAL CO
NPI 1174624787
Optometrist in Salt Lake City, UT

NPI Status: Active since September 26, 2006

Contact Information

1901 W PARKWAY BLVD
SALT LAKE CITY, UT
ZIP 84119
Phone: (801) 886-2020
Fax: (801) 954-0054

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  • Organization
  • Optometrist
  • Accepts Insurance

About STANDARD OPTICAL CO

This page provides the complete NPI Profile along with additional information for Standard Optical Co, a provider established in Salt Lake City, Utah operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1174624787 assigned on September 2006. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Standard Optical Co operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Alysa Woods (Office Manager)

NPI
1174624787
Provider Name
STANDARD OPTICAL CO
Entity Type
Organization
Location Address
1901 W PARKWAY BLVD SALT LAKE CITY, UT 84119
Location Phone
(801) 886-2020
Location Fax
(801) 954-0054
Mailing Address
1901 W PARKWAY BLVD SALT LAKE CITY, UT 84119
Mailing Phone
(801) 886-2020
Mailing Fax
(801) 954-0054
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2006
Last Update Date
01-30-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
Taxonomy Description
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • BlueCross B07S HSA - EPO
  • BlueCross B15S $0 virtual care from Teladoc Health � - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO
  • U Health Plus Bronze - EPO
  • U Health Plus Expanded Bronze Standard - EPO
  • U Health Plus Gold - EPO
  • U Health Plus Gold Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALYSA WOODS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(801) 886-2020

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1700082104OTHER (01)UTMEDICAID (WYATT)
999000797009MEDICAID (05)UT 
PRA03404OTHER (01)UTMOLINA MEDICAID

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174624787
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441228716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 2 + 2 + 8 + 7 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1174624787 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184653818 STEPHEN CHARLES LEWIS OD
Individual
Optometrist1901 W PARKWAY BLVD
SALT LAKE CITY, UT 84119
(801) 886-2020
1184037285 JONATHAN BOSTER O.D.
Individual
Optometrist1901 W PARKWAY BLVD
SALT LAKE CITY, UT 84119
(801) 886-2020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174624787, enumerated in the NPI registry as an "organization" on September 26, 2006

The provider is located at 1901 W Parkway Blvd Salt Lake City, Ut 84119 and the phone number is (801) 886-2020

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Aetna CVS Health, BlueCross BlueShield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.