Organization
STANDARD OPTICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SCHUBACH (PRESIDENT)
(801) 886-2020
Entity
Organization
Contact information
Practice address
11514 S 4000 W, BLDG H SUITE 103, SOUTH JORDAN, UT 84009-6014
(801) 727-8711
(801) 727-8714
Mailing address
1901 W PARKWAY BLVD, SALT LAKE CITY, UT 84119-2001
(801) 886-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
11/10/2016
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