| |
2165 E 9400 S, Sandy, UT 84093-3201 | |
(801) 942-7171 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 2165 E 9400 S, Sandy, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346292505 | NPI | - | NPPES |
014083 | Other | VIP | |
CP2230-51 | Other | EYEMED | |
410985054-071 | Medicaid | UT | |
UT04886 | Other | UT | NORIDIAN SUBMITTER ID |
42541 | Other | DAVIS | |
17917 | Other | MEDICARE |
Mailing Address | Practice Location Address |
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2165 E 9400 S, Sandy, UT 84093-3201 Ph: (801) 942-7171 | 2165 E 9400 S, Sandy, UT 84093-3201 Ph: (801) 942-7171 |