Amanda Marie Minervini, OD | |
5357 S Baker St, Murray, UT 84107-6374 | |
(973) 479-0136 | |
Not Available |
Full Name | Amanda Marie Minervini |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 5357 S Baker St, Murray, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184240780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA695800 (New Jersey) | Secondary |
152W00000X | Optometrist | 122390029934 (Utah) | Primary |
Provider Name | David R Masihdas O D P C |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639357593 PECOS PAC ID: 8224111844 Enrollment ID: O20080205000702 |
Mailing Address | Practice Location Address |
---|---|
Amanda Marie Minervini, OD 5357 S Baker St, Murray, UT 84107-6374 Ph: (973) 479-0136 | Amanda Marie Minervini, OD 5357 S Baker St, Murray, UT 84107-6374 Ph: (973) 479-0136 |
Sarah Valdez, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4400 S 700 E Ste 100, Murray, UT 84107 Phone: 801-264-4450 | |
Robert P Wooldridge, O.D. PC Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 E 5900 S, #201, Murray, UT 84107 Phone: 801-268-6408 Fax: 801-262-9216 | |
Dr. Nazanin Galehdari, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 166 East 5900 South, Suite B103, Murray, UT 84107 Phone: 801-268-3937 | |
Jennifer Marie Cherland, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5201 Intermountain Dr, Murray, UT 84107 Phone: 801-290-4201 Fax: 801-290-4227 | |
Robert P Wooldridge Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 201 E 5900 S Ste 201, Murray, UT 84107 Phone: 801-268-6408 Fax: 801-262-9216 | |
Dr. James M. Abraham, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4995 Atwood Blvd, Murray, UT 84107 Phone: 801-288-0882 Fax: 801-288-0977 | |
Dr. Chad H Campbell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6191 S State St, Murray, UT 84107 Phone: 801-268-0937 Fax: 801-281-4281 |