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CENTRAL UTAH CLINIC, P.C.
NPI 1265907620
Eyewear Supplier in Murray, UT

Active since October 11, 2018
5872 S 900 E STE 100, MURRAY, UT 84121(801) 261-0726(801) 262-2838 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Utah Clinic, P.c. NPPES

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

CENTRAL UTAH CLINIC, P.C. (NPI 1265907620), doing business as Revere Health, is a healthcare organization registered as an eyewear supplier in Murray, Utah and active in the NPI registry since October 2018. The organization lists Jed Bradley Harston, Director Of Managed Care, as its authorized official.

NPPES Registry Identity

NPI1265907620
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameCENTRAL UTAH CLINIC, P.C.
Location Address5872 S 900 E STE 100Murray, UT 84121-1677
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(801) 261-0726
Fax(801) 262-2838
Organization SubpartYes
Authorized OfficialJed Bradley HarstonDirector Of Managed Care · (801) 812-5012
Enumeration DateOctober 11, 2018
✔ NPI 1265907620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
5872 S 900 E STE 100, Murray, UT 84121
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Other Names 2

Doing Business AsRevere Health
Other NameOptical Shop (murray)

Other Providers at the Same Location NPPES 3

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

DR. DAVID J WILDE MD
Ophthalmology
5872 S 900 E STE 100
MURRAY, UT 84121
Salt Lake County (801) 261-0726
DR. DAVID WILLIAM DODDS M.D.
Ophthalmology
5872 S 900 E STE 100
MURRAY, UT 84121
Salt Lake County (801) 261-0726
OLYMPUS EYE ASSOCIATES, PC
Ophthalmology
5872 S 900 E STE 100
MURRAY, UT 84121
Salt Lake County (801) 261-0726

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 Central Utah Clinic, P.C.'s NPI number?

The NPI number for Central Utah Clinic, P.C. is 1265907620. It was assigned to this organization in the NPPES registry on October 11, 2018. The provider is doing business as Revere Health. The provider is also known as Optical Shop (Murray).

Where is Central Utah Clinic, P.C. located?

Central Utah Clinic, P.C. is located at 5872 S 900 E Ste 100, Murray, UT 84121. The listed phone number is (801) 261-0726.

What is Central Utah Clinic, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Central Utah Clinic, P.C. was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.