Bruce Lundin Od Llc | |
1550 N Main St, North Logan, UT 84341-1918 | |
(435) 753-3906 | |
Not Available |
Full Name | Bruce Lundin Od Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 1550 N Main St, North Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942746342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 279166-9934 (Utah) | Primary |
Provider Name | Bruce Lundin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750336152 PECOS PAC ID: 2365485778 Enrollment ID: I20190614002383 |
Mailing Address | Practice Location Address |
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Bruce Lundin Od Llc 1550 N Main St, North Logan, UT 84341-1918 Ph: (435) 753-3906 | Bruce Lundin Od Llc 1550 N Main St, North Logan, UT 84341-1918 Ph: (435) 753-3906 |
Vision Care 20/20 Of Nevada Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1550 N Main, North Logan, UT 84341 Phone: 435-753-3906 Fax: 435-753-3918 | |
Visionhealth Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1550 N Main St, Inside Walmart Vision Center, North Logan, UT 84341 Phone: 435-753-3906 Fax: 435-753-3918 |