Maverik Nicholas Shumway, | |
910 S 300 W, Blanding, UT 84511-3921 | |
(435) 678-0590 | |
Not Available |
Full Name | Maverik Nicholas Shumway |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 910 S 300 W, Blanding, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063117893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 13396974-8908 (Utah) | Primary |
Provider Name | Utah Navajo Health System Incorporated |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
Mailing Address | Practice Location Address |
---|---|
Maverik Nicholas Shumway, 2801 N Blue Mountain Rd, Blanding, UT 84511-2012 Ph: (435) 459-1923 | Maverik Nicholas Shumway, 910 S 300 W, Blanding, UT 84511-3921 Ph: (435) 678-0590 |
Dr. Stephen Burton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-3601 | |
Blanding Family Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-2324 | |
Ronald D Kirk O D Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 46 N Main St, Blanding, UT 84511 Phone: 435-678-2324 Fax: 435-678-3344 | |
Dr. Ronald Kirk, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-2324 Fax: 435-678-3344 |