| Standard Optical Co | |
|
5421 S 19th W, Roy, UT 84067 | |
| (801) 825-9703 | |
| (801) 825-5349 |
| Full Name | Standard Optical Co |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5421 S 19th W, Roy, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396832655 | NPI | - | NPPES |
| 1396832655 | Medicaid | UT | |
| 241764 | Other | UT | DMBA |
| 5529 | Other | UT | DMBA |
| 999000797009 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Standard Optical Co 1901 Parkway Blvd, Salt Lake City, UT 84119-2001 Ph: (801) 886-2020 | Standard Optical Co 5421 S 19th W, Roy, UT 84067 Ph: (801) 825-9703 |
Dr. Stacy Lynn Rencher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4896 S 1900 W, Roy, UT 84067 Phone: 801-773-2999 | |
Dr. John Ellison, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5421 S 1900 W, Roy, UT 84067 Phone: 801-825-9703 | |
Dr Roy R Gibson & Associates Optometrists P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5690 S 3750 W, Roy, UT 84067 Phone: 801-985-4141 | |
Aaron Max Hartman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5421 S 19th W, Roy, UT 84067 Phone: 801-825-9703 Fax: 801-825-5349 |