| Greg Michael Wenom, OD | |
|
5735 Harrison Blvd, Ogden, UT 84403-4324 | |
| (801) 393-9440 | |
| Not Available |
| Full Name | Greg Michael Wenom |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 5735 Harrison Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356420590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 277432-9934 (Utah) | Primary |
| Provider Name | Specialized Optical Company |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194914010 PECOS PAC ID: 1254375587 Enrollment ID: O20050616000853 |
| Provider Name | Ion Vision Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376099432 PECOS PAC ID: 0042570426 Enrollment ID: O20180202000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Michael Wenom, OD 1005 Pinnocchio Dr, Salt Lake City, UT 84116-2132 Ph: (801) 355-6613 | Greg Michael Wenom, OD 5735 Harrison Blvd, Ogden, UT 84403-4324 Ph: (801) 393-9440 |
Ogden Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 3475 Harrison Blvd, Ogden, UT 84403 Phone: 801-394-8885 Fax: 801-394-8991 | |
Advanced Vision & Wellness Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 298 24th St, Suite 315, Ogden, UT 84401 Phone: 801-393-4413 | |
Dr. Easton Clint Kelsey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3651 Wall Ave Ste 1226, Ogden, UT 84405 Phone: 480-732-9040 | |
Family Vision Care Of Ogden Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1055 N Washington Blvd, Ogden, UT 84404 Phone: 801-394-5709 Fax: 801-394-5710 | |
Dr. Carrie Ann Palmer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1018 Washington Blvd, Ogden, UT 84404 Phone: 801-392-5100 Fax: 801-392-5100 | |
Dr. Keith W. Linford, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 Fax: 801-476-0067 | |
Dr. Rich H Humpherys, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1055 N Washington Blvd, Ogden, UT 84404 Phone: 801-394-5709 Fax: 801-394-5710 |