| Michael Green Thain, OD | |
|
6895 So State, Salt Lake City, UT 84047 | |
| (801) 255-8525 | |
| Not Available |
| Full Name | Michael Green Thain |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 6895 So State, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356415434 | NPI | - | NPPES |
| S29660765001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1089949934 (Utah) | Primary |
| Provider Name | Eye Care For Kids |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336294750 PECOS PAC ID: 1355691163 Enrollment ID: O20180828004241 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Green Thain, OD 12964 Hunter Hollow Way, Draper, UT 84020 Ph: (801) 572-0594 | Michael Green Thain, OD 6895 So State, Salt Lake City, UT 84047 Ph: (801) 255-8525 |
Dr. Michael D Conklin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 Fax: 801-484-8664 | |
Sean Patrick Cushman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 755 E 3900 S, Salt Lake City, UT 84107 Phone: 801-266-2283 Fax: 801-268-6151 | |
Cori Marie Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Foothill Dr, Salt Lake City, UT 84148 Phone: 316-633-2244 | |
Harlin Optometry, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 | |
Terry M Hansen Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2828 W 4700 S, Suite D, Salt Lake City, UT 84118 Phone: 801-966-6201 Fax: 801-966-6609 | |
Mrs. Karri A Buresh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 E 300 S, Berner Eye Clinic, Salt Lake City, UT 84111 Phone: 801-322-0467 Fax: 801-363-6053 | |
Utah Eye Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 S 1000 E Ste 330, Salt Lake City, UT 84102 Phone: 267-736-6335 |