Organization
STANDARD OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH A ACKER (CFO)
(801) 886-2020
Entity
Organization
Contact information
Practice address
1438 E MAIN ST, #4, LEHI, UT 84043-3797
(801) 753-7909
(801) 753-7996
Mailing address
1901 W PARKWAY BLVD, SALT LAKE CITY, UT 84119-2001
(801) 886-2020
(801) 954-0054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023242435
—
UT
Enumeration date
05/13/2009
Last updated
02/02/2010
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