| Dr Adam Larry Maddocks, OD | |
|
1150 S 100 W, Logan, UT 84321-5573 | |
| (435) 754-3459 | |
| (435) 787-8498 |
| Full Name | Dr Adam Larry Maddocks |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1150 S 100 W, Logan, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922478239 | NPI | - | NPPES |
| 10295884-9934 | Other | UT | UTAH DEPARTMENT OF COMMERCE, DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING |
| 4901004935 | Other | MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS, BOARD OF OPTOMETRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10295884-9934 (Utah) | Primary |
| 152W00000X | Optometrist | 4901004935 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adam Larry Maddocks, OD 1150 S 100 W, Logan, UT 84321-5573 Ph: (435) 754-3459 | Dr Adam Larry Maddocks, OD 1150 S 100 W, Logan, UT 84321-5573 Ph: (435) 754-3459 |
Eye Pros Optometrist Medicare: Medicare Enrolled Practice Location: 1475 N Main St Ste 103, Logan, UT 84341 Phone: 208-501-8222 | |
Budge Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 535 E 1400 N Ste 130, Logan, UT 84341 Phone: 435-753-5280 | |
Eye Care For You P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 43 E 400 N, Logan, UT 84321 Phone: 435-752-6453 Fax: 435-752-6486 | |
Rebecca Lynn Freeman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste P, Logan, UT 84341 Phone: 435-752-2020 Fax: 435-752-5475 | |
Standard Optical Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1153 N Main St, Suite A120, Logan, UT 84341 Phone: 435-752-2092 Fax: 435-750-6734 | |
Dr. Gustaf Isaac Gibson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 145 W Cache Valley Blvd, Logan, UT 84341 Phone: 435-787-9273 Fax: 435-787-9275 | |
The Optical Shoppe Optometrist Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste T, Logan, UT 84341 Phone: 435-752-2020 Fax: 435-752-5475 |