| Bountiful Vision Plaza Pc | |
|
311 E 500 S, Bountiful, UT 84010-4924 | |
| (801) 295-4441 | |
| (801) 294-5416 |
| Full Name | Bountiful Vision Plaza Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 311 E 500 S, 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 |
|---|---|---|---|
| 1558434613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1128829934 (Utah) | Primary |
| Provider Name | Douglas R Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487846655 PECOS PAC ID: 5193809119 Enrollment ID: I20080228000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Vision Plaza Pc 311 E 500 S, Bountiful, UT 84010-4924 Ph: (801) 295-4441 | Bountiful Vision Plaza Pc 311 E 500 S, Bountiful, UT 84010-4924 Ph: (801) 295-4441 |
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 | |
Bountiful Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 140 S Main St, Bountiful, UT 84010 Phone: 801-295-2020 Fax: 801-292-8761 | |
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 |