1. Home
  2. Directory
  3. Utah
  4. Logan
  5. Eyewear Supplier
  6. NPI Profile

THE OPTICAL SHOPPE
NPI 1225330673
Eyewear Supplier in Logan, UT

Active since November 17, 2010CLIA 46D2259298 · Waiver
550 E 1400 N STE T, LOGAN, UT 84341(435) 752-2020(435) 752-5475 Get Directions Write a Review

NPPES record last updated: August 29, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Optical Shoppe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE OPTICAL SHOPPE (NPI 1225330673) is a healthcare organization registered as an eyewear supplier in Logan, Utah and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Christian D Nilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1225330673
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameNORTHERN UTAH EYE CENTER
Location Address550 E 1400 N STE TLogan, UT 84341-2407
Mailing Address550 E 1400 N Ste TLogan, UT 84341-2407 · (435) 752-2020 · Fax (435) 752-5475
Phone(435) 752-2020
Fax(435) 752-5475
Organization SubpartYes
Authorized OfficialChristian D NilsonOwner · (435) 752-2020
Enumeration DateNovember 17, 2010
Last NPPES UpdateAugust 29, 2017
✔ NPI 1225330673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in UT · 6962612-1205
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X · License 8127835-9934 (UT)
550 E 1400 N STE T, Logan, UT 84341
Open in Google Maps ↗

Other Names 1

Other NameThe Optical Shoppe

Other Identifiers 2

Medicare PIN19583UT
Medicaid1932321460UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2259298

Northern Utah Eye Center · Logan, UT
Active · expires May 3, 2028
CLIA Number46D2259298
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorChristian D. Nilson
Laboratory Phone(435) 752-2020
Laboratory LocationNorthern Utah Eye Center550 E 1400 N, Suite P, Logan, UT 84341
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IHC HEALTH SERVICES INC
Clinic/Center (Methadone)
550 E 1400 N STE T
LOGAN, UT 84341
Cache County (435) 716-1664
IHC HEALTH SERVICES INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
550 E 1400 N STE T
LOGAN, UT 84341
Cache County (435) 716-1320
REGINA RENEE DICKINSON LCSW
Social Worker (Clinical)
550 E 1400 N STE T
LOGAN, UT 84341
Cache County (435) 716-1320
BROCK FREIDENBERGER PMHNP
Nurse Practitioner
550 E 1400 N STE T
LOGAN, UT 84341
Cache County (435) 716-1320

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 Northern Utah Eye Center's NPI number?

The NPI number for Northern Utah Eye Center is 1225330673. It was assigned to this organization in the NPPES registry on November 17, 2010. The provider is also known as The Optical Shoppe.

Where is Northern Utah Eye Center located?

Northern Utah Eye Center is located at 550 E 1400 N Ste T, Logan, UT 84341. The listed phone number is (435) 752-2020.

What is Northern Utah Eye Center's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Northern Utah Eye Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2259298) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Utah Eye Center was last updated on August 29, 2017. 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.