| Bountiful Eye Care Pc | |
|
140 S Main St, Bountiful, UT 84010-6234 | |
| (801) 295-2020 | |
| (801) 292-8761 |
| Full Name | Bountiful Eye Care Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 140 S Main St, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396925269 | NPI | - | NPPES |
| 870635456009 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 98-358145-9934 (Utah) | Primary |
| Provider Name | Robert Murray Wilkes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093788184 PECOS PAC ID: 7517997521 Enrollment ID: I20100917000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Eye Care Pc 140 S Main St, Bountiful, UT 84010-6234 Ph: (801) 295-2020 | Bountiful Eye Care Pc 140 S Main St, Bountiful, UT 84010-6234 Ph: (801) 295-2020 |
Dr. Robert Murray Wilkes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 140 S Main St, Bountiful, UT 84010 Phone: 801-295-2020 Fax: 801-292-5575 | |
Shopko Optical 107 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 190 S 500 W, Bountiful, UT 84010 Phone: 801-295-9200 | |
Dr. Adam Barry Rudd, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 70 N Main St, Bountiful, UT 84010 Phone: 801-292-1408 Fax: 801-292-1966 | |
Duane Knowles, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 140 W 5th S, Bountiful, UT 84010 Phone: 801-292-0479 Fax: 801-292-7019 | |
Shawn Page Murray, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 190 S 500 W, Bountiful, UT 84010 Phone: 801-295-9200 Fax: 801-292-9390 | |
Dr. Daniel Wayne Pace, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 70 N Main St, Suite 102, Bountiful, UT 84010 Phone: 801-292-1408 Fax: 801-292-1966 |