| Magna Family Eyecare | |
|
3665 S 8400 W Ste 100, Magna, UT 84044-4907 | |
| (801) 250-5745 | |
| Not Available |
| Full Name | Magna Family Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3665 S 8400 W Ste 100, Magna, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144826066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kory White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124478151 PECOS PAC ID: 6507271558 Enrollment ID: I20210225003408 |
| Mailing Address | Practice Location Address |
|---|---|
| Magna Family Eyecare 3665 S 8400 W Ste 100, Magna, UT 84044-4907 Ph: (253) 306-4802 | Magna Family Eyecare 3665 S 8400 W Ste 100, Magna, UT 84044-4907 Ph: (801) 250-5745 |
Dr. Shaun Dean Larsen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Suite 100, Magna, UT 84044 Phone: 801-250-5745 Fax: 801-250-5981 | |
Kory White, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3665 S 8400 W, Ste 100, Magna, UT 84044 Phone: 801-250-5745 Fax: 801-250-5981 | |
Mobile Eyecare Of Utah Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W, Suite 100, Magna, UT 84044 Phone: 801-250-5745 Fax: 801-250-5981 |