Nathan Green O.d. P.c. is a
Optometrist based in South Salt Lake, Utah. Nathan Green O.d. P.c. is licensed to practice in Utah (license number 5340358-9934) and their current practice location is
241 W 2100 S, South Salt Lake, Utah. It can be reached at their office (for appointments etc.) via phone at
(801) 401-1068.
NPI number for Nathan Green O.d. P.c. is 1952766362 and their current mailing address is 241 W 2100 S, South Salt Lake, Utah. Nathan Green O.d. P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1952766362.
Healthcare Provider's Profile
Full Name | Nathan Green O.d. P.c. |
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Type | Facility |
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Speciality | Optometrist |
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Location | 241 W 2100 S, South Salt Lake, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952766362
- Provider Enumeration Date: 12/30/2015
- Last Update Date: 12/30/2015
Medical Identifiers
Medical identifiers for Nathan Green O.d. P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952766362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 5340358-9934 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nathan Green O.d. P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nathan Green O.d. P.c. 241 W 2100 S, South Salt Lake, UT 84115-1830 Ph: () - | Nathan Green O.d. P.c. 241 W 2100 S, South Salt Lake, UT 84115-1830 Ph: (801) 401-1068 |
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