Mark A Richey, MD | |
1145 N 500 W, Ste A4, Provo, UT 84604 | |
(801) 354-8225 | |
(801) 418-0941 |
Full Name | Mark A Richey |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 1145 N 500 W, Provo, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962562157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G58650 (California) | Secondary |
207W00000X | Ophthalmology | 12670180-1205 (Utah) | Primary |
Entity Name | Central Utah Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805 |
Mailing Address | Practice Location Address |
---|---|
Mark A Richey, MD 1055 N 500 W, Attn Credentialing, Provo, UT 84604 Ph: (801) 354-8225 | Mark A Richey, MD 1145 N 500 W, Ste A4, Provo, UT 84604 Ph: (801) 354-8225 |
Jonathan B Gunther, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-379-2904 Fax: 801-379-2959 | |
Thomas Dyreng Myers, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 280 River Park Dr, Suite 220, Provo, UT 84604 Phone: 801-224-3565 Fax: 801-224-3567 | |
Dr. Matthew Reed Parsons, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-374-1818 Fax: 801-379-2959 | |
Dr. James G Theurer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-374-1818 Fax: 801-379-2959 | |
Norman Kent Linton, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-374-1818 Fax: 801-374-0163 | |
Dr. Michael J Lloyd, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 204, Provo, UT 84604 Phone: 801-357-7373 Fax: 801-357-7217 | |
Dr. Jack Dunyon Stringham Ii, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 500, Provo, UT 84604 Phone: 801-357-7704 |