South Valley Optical is a
Eyewear Supplier based in Draper, Utah. South Valley Optical is licensed to practice in Utah (license number 1394746-0143) and their current practice location is
261 W. Data Dr., Draper, Utah. It can be reached at their office (for appointments etc.) via phone at
(801) 316-5508.
NPI number for South Valley Optical is 1225373640 and their current mailing address is 261 W Data Dr, Draper, Utah. South Valley Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225373640.
Healthcare Provider's Profile
| Full Name | South Valley Optical |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 261 W. Data Dr., Draper, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225373640
- Provider Enumeration Date: 12/11/2012
- Last Update Date: 02/26/2026
Medical Identifiers
Medical identifiers for South Valley Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225373640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 5343369-9934 (Utah) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 5343369-9934 (Utah) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 5343369-9934 (Utah) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 5343369-9934 (Utah) | Secondary |
| 152WS0006X | Optometrist - Sports Vision | 5343369-9934 (Utah) | Secondary |
| 152WV0400X | Optometrist - Vision Therapy | 5343369-9934 (Utah) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 5343369-9934 (Utah) | Secondary |
| 156FC0800X | Technician/technologist - Contact Lens | (* (Not Available)) | Secondary |
| 156FC0801X | Technician/technologist - Contact Lens Fitter | (* (Not Available)) | Secondary |
| 156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | 1394746-0143 (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. South Valley Optical 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 |
|---|
South Valley Optical
261 W Data Dr,
Draper, UT 84020-2372
Ph: (801) 316-5850 | South Valley Optical
261 W. Data Dr.,
Draper, UT 84020-7942
Ph: (801) 316-5508 |
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