| |
990 Medical Dr, Brigham City, UT 84302-4713 | |
(435) 734-2097 | |
(435) 734-0532 |
Full Name | |
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Type | Facility |
Speciality | Specialist |
Location | 990 Medical Dr, Brigham City, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427115831 | NPI | - | NPPES |
1487653218 | Medicaid | UT | |
1558858464 | Medicaid | UT | |
003026200 | Medicaid | ID | |
1760607782 | Medicaid | UT | |
180002306 | Other | UT | RAIL ROAD MEDICARE |
1235138066 | Medicaid | UT |
Provider Name | Scott D Turner |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1760607782 PECOS PAC ID: 1759475411 Enrollment ID: I20070926000152 |
Provider Name | David P Lewis |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487653218 PECOS PAC ID: 6305934662 Enrollment ID: I20101028000946 |
Provider Name | Michael Curtis Clark |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558858464 PECOS PAC ID: 7416203138 Enrollment ID: I20180710002319 |
Mailing Address | Practice Location Address |
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990 South Medical Dr, Ste G3, Brigham City, UT 84302-4713 Ph: (435) 734-2097 | 990 Medical Dr, Brigham City, UT 84302-4713 Ph: (435) 734-2097 |