STANDARD OPTICAL CO
NPI 1174624787
Optometrist in Salt Lake City, UT
About Standard Optical Co NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANDARD OPTICAL CO (NPI 1174624787) is a healthcare organization registered as an optometrist in Salt Lake City, Utah and active in the NPI registry since September 2006. The organization lists Alysa Woods, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Standard Optical Co is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Standard Optical Co, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 25Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Standard Optical Co's NPI number?
The NPI number for Standard Optical Co is 1174624787. It was assigned to this organization in the NPPES registry on September 26, 2006.
Where is Standard Optical Co located?
Standard Optical Co is located at 1901 W Parkway Blvd, Salt Lake City, UT 84119. The listed phone number is (801) 886-2020.
What is Standard Optical Co's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Standard Optical Co enrolled in Medicare?
Yes. Standard Optical Co is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Standard Optical Co?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 2 Medicare specialties reassign their Medicare billing to Standard Optical Co. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (24) and Ophthalmology (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Standard Optical Co was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Standard Optical Co · NPI 1174624787
Optometrist organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1174624787 (Entity type: Organization)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Alysa Woods, OFFICE MANAGER
## Practice location
- **Address:** 1901 W PARKWAY BLVD, Salt Lake City, UT 84119
- **Phone:** (801) 886-2020 · **Fax:** (801) 954-0054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 25 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (24), Ophthalmology (1); 6 practice within 10 miles; [full list](https://npiprofile.com/npi/1174624787/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 30, 2018
- **Other identifiers:** Other 1700082104 (UT); Medicaid 999000797009 (UT); Other PRA03404 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1174624787) · Data from the CMS NPPES public registry.