Craig Pew O.d., Inc | |
200 N Market Place Dr, Centerville, UT 84014-1752 | |
(801) 295-7118 | |
(801) 295-7123 |
Full Name | Craig Pew O.d., Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 200 N Market Place Dr, Centerville, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497160667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 7713445-9934 (Utah) | Primary |
Provider Name | Craig Alexander Pew |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821393810 PECOS PAC ID: 0749465375 Enrollment ID: I20110426000432 |
Mailing Address | Practice Location Address |
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Craig Pew O.d., Inc 205 E 1250 N, Layton, UT 84041-2438 Ph: (706) 575-8590 | Craig Pew O.d., Inc 200 N Market Place Dr, Centerville, UT 84014-1752 Ph: (801) 295-7118 |
Dr. Agnieszka Krol, OD Optometrist Medicare: Medicare Enrolled Practice Location: 200 N Market Place Dr, Centerville, UT 84014 Phone: 801-295-7118 Fax: 801-295-7123 | |
Dr. Craig A Pew, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 N Market Place Dr, Centerville, UT 84014 Phone: 801-295-7118 | |
Dr. Mason Matthew Wybrow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 308 N Market Place Dr, Centerville, UT 84014 Phone: 801-294-6111 Fax: 801-294-6222 |