| Progressive Eye Care, Llc | |
|
3556 W 9800 S, Suite 104, South Jordan, UT 84095-3211 | |
| (801) 676-2020 | |
| (801) 253-6591 |
| Full Name | Progressive Eye Care, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3556 W 9800 S, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922282599 | NPI | - | NPPES |
| 528592101002 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4826018-9934 (Utah) | Primary |
| Provider Name | Jeffrey L Broadhead |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306829569 PECOS PAC ID: 7517922826 Enrollment ID: I20041129000671 |
| Provider Name | Michael T Chism |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770866840 PECOS PAC ID: 9133432784 Enrollment ID: I20150724012282 |
| Provider Name | Michael Sperry Hope |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295429413 PECOS PAC ID: 6103285481 Enrollment ID: I20230705001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Eye Care, Llc 3556 W 9800 S, Suite 104, South Jordan, UT 84095-3211 Ph: (801) 676-2020 | Progressive Eye Care, Llc 3556 W 9800 S, Suite 104, South Jordan, UT 84095-3211 Ph: (801) 676-2020 |
Dr. Ryan J Mortensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11506 S District Dr, Ste 400, South Jordan, UT 84095 Phone: 801-495-4833 Fax: 801-495-4836 | |
Utah Vision Development Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3672 W South Jordan Pkwy, Ste 103, South Jordan, UT 84009 Phone: 801-810-1060 | |
Standard Optical Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11514 S 4000 W, Bldg H Suite 103, South Jordan, UT 84009 Phone: 801-727-8711 Fax: 801-727-8714 | |
Dr. Carlyle Derek Swain, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11328 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-571-1364 | |
Wasatch View Eye Care L L C Optometrist Medicare: Medicare Enrolled Practice Location: 10412 S 2200 W, South Jordan, UT 84095 Phone: 801-858-2020 Fax: 801-610-2138 | |
Dr. Michael Sperry Hope, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10654 S River Heights Dr Ste 110, South Jordan, UT 84095 Phone: 801-676-2020 |