| Eye Pros | |
|
4115 Riverdale Rd, Riverdale, UT 84405-3509 | |
| (208) 297-7019 | |
| Not Available |
| Full Name | Eye Pros |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4115 Riverdale Rd, Riverdale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710456975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Roy R Gibson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104816743 PECOS PAC ID: 5294725834 Enrollment ID: I20040514001008 |
| Provider Name | Nathan D Broschinsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467894998 PECOS PAC ID: 7719114537 Enrollment ID: I20131223001611 |
| Provider Name | Lavar W Kofoed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023231420 PECOS PAC ID: 3971632324 Enrollment ID: I20180801000930 |
| Provider Name | Glen C Turner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316044209 PECOS PAC ID: 2163764929 Enrollment ID: I20190425002526 |
| Provider Name | Kiana Murray Rigby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750075081 PECOS PAC ID: 2567822158 Enrollment ID: I20230713003871 |
| Provider Name | Kendrick Lynn Garrett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497431076 PECOS PAC ID: 3870935661 Enrollment ID: I20240524001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Pros 3485 N Cole Rd Unit 45479, Boise, ID 83711-1095 Ph: (208) 297-7019 | Eye Pros 4115 Riverdale Rd, Riverdale, UT 84405-3509 Ph: (208) 297-7019 |
Dr. David Boyle Burnett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-627-9868 Fax: 801-627-9870 | |
Roy Raymond Gibson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4949 S 900 W, Riverdale, UT 84405 Phone: 801-621-0480 Fax: 801-612-3485 | |
Eyecare Wellness Clinic P.l.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-627-9868 Fax: 801-627-9870 | |
Shopko Optical 109 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4060 Riverdale Rd, Riverdale, UT 84405 Phone: 801-392-4300 | |
Boster Vision, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-404-2825 |