Dr John Ellison, OD | |
5421 S 1900 W, Roy, UT 84067-2908 | |
(801) 825-9703 | |
Not Available |
Full Name | Dr John Ellison |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 5421 S 1900 W, Roy, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376713586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6617396-9934 (Utah) | Primary |
Provider Name | Standard Optical Co |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093816548 PECOS PAC ID: 8224921390 Enrollment ID: O20040203000787 |
Mailing Address | Practice Location Address |
---|---|
Dr John Ellison, OD 5421 S 1900 W, Roy, UT 84067-2908 Ph: (801) 825-9703 | Dr John Ellison, OD 5421 S 1900 W, Roy, UT 84067-2908 Ph: (801) 825-9703 |
Dr. Stacy Lynn Rencher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4896 S 1900 W, Roy, UT 84067 Phone: 801-773-2999 | |
Roy Vision Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 4896 S 1900 W, Roy, UT 84067 Phone: 801-773-2999 Fax: 801-773-4221 | |
Standard Optical Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5421 S 19th W, Roy, UT 84067 Phone: 801-825-9703 Fax: 801-825-5349 | |
Dr Roy R Gibson & Associates Optometrists P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5690 S 3750 W, Roy, UT 84067 Phone: 801-985-4141 | |
Aaron Max Hartman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5421 S 19th W, Roy, UT 84067 Phone: 801-825-9703 Fax: 801-825-5349 |