| Dr Michael Davis, OD | |
|
2843 S 5600 W, West Valley City, UT 84120-6089 | |
| (801) 967-6300 | |
| Not Available |
| Full Name | Dr Michael Davis |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2843 S 5600 W, West Valley City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689670861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2154 (Colorado) | Secondary |
| 152W00000X | Optometrist | 12403819-9934 (Utah) | Primary |
| Provider Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Davis, OD 861 S 700 E, Pleasant Grove, UT 84062-2963 Ph: (505) 409-8664 | Dr Michael Davis, OD 2843 S 5600 W, West Valley City, UT 84120-6089 Ph: (801) 967-6300 |
Christopher Mark Troxel, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3620 W 3500 S, West Valley City, UT 84120 Phone: 801-966-9975 Fax: 801-963-3900 | |
Ngoc Judy Tran, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2731 S 5600 W Ste E, West Valley City, UT 84120 Phone: 385-324-5641 | |
Mrs. Jeannette Pontiero Meandzija, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2727 W 3500 S, West Valley City, UT 84119 Phone: 801-968-6772 | |
Dr. Shawn D Beagley Optometrist Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3747 S 2700 W, West Valley City, UT 84119 Phone: 801-996-9021 | |
Mountain West Eyecare Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2727 W 3500 S, West Valley City, UT 84119 Phone: 801-968-6772 Fax: 801-968-6771 | |
Dr. Bryan O'dell Frandsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3029 S Colt Plaza Dr, West Valley City, UT 84128 Phone: 801-968-6772 | |
Bethany Ruth Gillett, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3029 S Colt Plaza Dr Ste 1, West Valley City, UT 84128 Phone: 801-968-6772 Fax: 801-968-6771 |