Alan Brant Gummow, OD | |
307 N 300 W, Suite 302, Kaysville, UT 84037-1852 | |
(801) 444-9977 | |
(801) 444-2610 |
Full Name | Alan Brant Gummow |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 17 Years |
Location | 307 N 300 W, Kaysville, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558550913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6675342-9934 (Utah) | Primary |
Provider Name | Vista Eyecare Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275958159 PECOS PAC ID: 9436461977 Enrollment ID: O20150711000090 |
Mailing Address | Practice Location Address |
---|---|
Alan Brant Gummow, OD 307 N 300 W, Suite 302, Kaysville, UT 84037-1852 Ph: (801) 444-9977 | Alan Brant Gummow, OD 307 N 300 W, Suite 302, Kaysville, UT 84037-1852 Ph: (801) 444-9977 |
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Vista Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 307 N 300 W, Suite 302, Kaysville, UT 84037 Phone: 801-444-9977 Fax: 801-444-2610 | |
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