| Mobile Eyecare Of Utah Llc | |
|
3665 S 8400 W, Suite 100, Magna, UT 84044-2214 | |
| (801) 250-5745 | |
| (801) 250-5981 |
| Full Name | Mobile Eyecare Of Utah Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3665 S 8400 W, 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 |
|---|---|---|---|
| 1245274521 | NPI | - | NPPES |
| 528455690016 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3758049934 (Utah) | Primary |
| Provider Name | Shaun D Larsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073540167 PECOS PAC ID: 8426953639 Enrollment ID: I20031201000806 |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Eyecare Of Utah Llc 3665 S 8400 W, Suite 100, Magna, UT 84044-2214 Ph: (801) 250-5745 | Mobile Eyecare Of Utah Llc 3665 S 8400 W, Suite 100, Magna, UT 84044-2214 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 | |
Magna Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 3665 S 8400 W Ste 100, Magna, UT 84044 Phone: 801-250-5745 |