TARGET OPTICAL #4004 – Eyewear Supplier, NPI 1821148677

TARGET OPTICAL #4004 is a healthcare provider. based in Sandy, Utah. specializing in Eyewear Supplier. The NPI Number for TARGET OPTICAL #4004 is 1821148677

Main info

Organization
Name
TARGET OPTICAL #4004
NPI
1821148677
Phone
(801) 256-9757
Address
10130 S STATE ST
Authorized Official
MR. TERRY KROTH SPECIALIST
Enumeration Date
12 January 2007
Last Update Date
15 June 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for TARGET OPTICAL #4004

  • South State Street, Sandy, DuBois, Clearfield County, Pennsylvania, 15801, United States

    SANDY, UT 840704118

    Phone: (801) 256-9757

    Type: Location

  • 4000, Luxottica Place, Luxottica, Mason, Warren County, Ohio, 45040, United States

    ATTN MEDICARE DEPT

    MASON, OH 450408114

    Phone: (801) 256-9757

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84070)

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Reviews

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Frequently asked questions

Where can patients find TARGET OPTICAL #4004's NPI?
You can confirm TARGET OPTICAL #4004 with NPI 1821148677; it appears in the national provider directory.
Is TARGET OPTICAL #4004's NPI currently valid?
The extract we use shows TARGET OPTICAL #4004 as active.
What field does TARGET OPTICAL #4004 work in?
You can think of TARGET OPTICAL #4004 as practicing within Eyewear Supplier. Clinical services aligned with this taxonomy classification.
What location metadata exists for TARGET OPTICAL #4004?
The page summarizes Sandy, Utah for TARGET OPTICAL #4004; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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