CENTRAL UTAH OPTICAL NPI 1396831483

NPI Information

  • NPI: 1396831483
  • Provider Name: CENTRAL UTAH OPTICAL
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: EXCEL EYE CENTER
  • CLIA Number: 46D2063305
  • Address: 1735 N STATE ST
    PROVO, UT
    ZIP 84604
  • Phone: (801) 374-1818

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NPI Details

CENTRAL UTAH OPTICAL is an eyewear supplier in Provo, UT. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. CENTRAL UTAH OPTICAL NPI is 1396831483. The provider is registered as an organization entity type.
The provider Is Doing Business As Excel Eye Center.

The provider's business location address is:

1735 N STATE ST
PROVO, UT
ZIP 84604-010
Phone: (801) 374-1818
Fax: (801) 379-2959

The provider's authorized official is Ron Dunn .
The authorized official title is Administrator and has the following contact phone number (801) 374-1818.

The CLIA number assigned to this NPI record is 46D2063305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11284570001OTHERUTAHCIGNA DMERC
21284570001MEDICARE NSCUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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