Box Elder Vision | |
34 S Main St, Brigham City, UT 84302-2527 | |
(435) 723-2485 | |
Not Available |
Full Name | Box Elder Vision |
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Type | Facility |
Speciality | Optometrist |
Location | 34 S Main St, 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 |
---|---|---|---|
1699478545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Gavin Lane Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194340745 PECOS PAC ID: 9234551110 Enrollment ID: I20231102003627 |
Mailing Address | Practice Location Address |
---|---|
Box Elder Vision 34 S Main St, Brigham City, UT 84302-2527 Ph: (435) 730-3998 | Box Elder Vision 34 S Main St, Brigham City, UT 84302-2527 Ph: (435) 723-2485 |
Dr. Joseph C. Olson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 547 S Main St, Brigham City, UT 84302 Phone: 435-723-2144 Fax: 435-723-4760 | |
Dr. William L Harrison, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 111 E Forest St, Suite E, Brigham City, UT 84302 Phone: 435-723-2144 Fax: 435-723-4760 | |
Dr. Gavin Lane Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 S Main St, Brigham City, UT 84302 Phone: 435-723-2485 Fax: 435-723-5840 | |
Dr. Richard J. Bigler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 990 South Medical Drive, Suite Gl3, Brigham City, UT 84302 Phone: 435-734-2097 Fax: 435-734-0532 | |
Dr. Scott Roberts Haderlie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 747 S Main St, Brigham City, UT 84302 Phone: 435-723-1800 | |
Brigham/farr West Eye Specialists Optometrist Medicare: Medicare Enrolled Practice Location: 990 Medical Dr, Brigham City, UT 84302 Phone: 435-734-2097 Fax: 435-734-0532 | |
Dr. Larry D Terry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 S Main St, Brigham City, UT 84302 Phone: 435-723-2485 Fax: 435-723-5840 |