| |
1150 N Main St, Layton, UT 84041-4853 | |
(801) 547-9100 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1150 N Main St, Layton, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790737229 | NPI | - | NPPES |
CP2230-42 | Other | EYEMED | |
35525 | Other | AVESIS | |
014088 | Other | VIP | |
410985054-117 | Medicaid | UT | |
42588 | Other | DAVIS | |
UT04879 | Other | UT | NORIDIAN SUBMITTER ID |
17923 | Other | MEDICARE |
Mailing Address | Practice Location Address |
---|---|
1150 N Main St, Layton, UT 84041-4853 Ph: (801) 547-9100 | 1150 N Main St, Layton, UT 84041-4853 Ph: (801) 547-9100 |