Department Of Ophthalmology - Pediatric Division is a
Ophthalmology based in Salt Lake City, Utah. Department Of Ophthalmology - Pediatric Division is licensed to practice in * (Not Available) (license number ) and their current practice location is
100 Mario Capecchi Dr, # 3650, Salt Lake City, Utah. It can be reached at their office (for appointments etc.) via phone at
(801) 581-3195.
NPI number for Department Of Ophthalmology - Pediatric Division is 1467497156 and their current mailing address is 65 Mario Capecchi Dr, Salt Lake City, Utah. Department Of Ophthalmology - Pediatric Division
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1467497156.
Healthcare Provider's Profile
| Full Name | Department Of Ophthalmology - Pediatric Division |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 100 Mario Capecchi Dr, Salt Lake City, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467497156
- Provider Enumeration Date: 06/18/2006
- Last Update Date: 09/20/2011
Medical Identifiers
Medical identifiers for Department Of Ophthalmology - Pediatric Division such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467497156 | NPI | - | NPPES |
| 100503637 | Other | NV | NEVADA MEDICAID |
| 122451400 | Other | WY | WYOMING MEDICAID |
| 806964900 | Other | ID | IDAHO MEDICAID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | (* (Not Available)) | Secondary |
| 156FC0800X | Technician/technologist - Contact Lens | (* (Not Available)) | Secondary |
| 156FC0801X | Technician/technologist - Contact Lens Fitter | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Department Of Ophthalmology - Pediatric Division is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Department Of Ophthalmology - Pediatric Division
65 Mario Capecchi Dr,
Salt Lake City, UT 84132-0001
Ph: (801) 581-3195 | Department Of Ophthalmology - Pediatric Division
100 Mario Capecchi Dr, # 3650,
Salt Lake City, UT 84112-8924
Ph: (801) 581-3195 |
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