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320 W. River Park Drive, Ste.245, Provo, UT 84604-6065 | |
| (801) 800-8508 | |
| (801) 341-0266 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 320 W. River Park Drive, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578949699 | NPI | - | NPPES |
| Provider Name | Devin A Duval |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164834834 PECOS PAC ID: 9032334354 Enrollment ID: I20150921002835 |
| Provider Name | Trevor Todd Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013582444 PECOS PAC ID: 9638570989 Enrollment ID: I20210624002134 |
| Mailing Address | Practice Location Address |
|---|---|
320 W. River Park Drive, Ste.245, Provo, UT 84604-6065 Ph: (801) 800-8508 | 320 W. River Park Drive, Ste.245, Provo, UT 84604-6065 Ph: (801) 800-8508 |
Trevor Todd Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 River Park Dr Ste 245, Provo, UT 84604 Phone: 801-800-8508 | |
Dr. Andrew Timothy Smith, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2230 N University Pkwy Ste 10a, Provo, UT 84604 Phone: 801-373-4550 | |
Mr. Adam L Hickenbotham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 122 E 1700 S Bldg 3, Provo, UT 84606 Phone: 385-248-5550 | |
Dr. Matthew Orgill, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1800 Novell Pl, Provo, UT 84606 Phone: 801-375-5125 | |
Frank A Siddoway Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1675 N 200 W, #11-a, Provo, UT 84604 Phone: 801-374-2227 Fax: 801-374-5197 | |
Mr. David O. Edmunds, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 204, Provo, UT 84604 Phone: 801-357-7373 Fax: 801-357-7217 | |