| |
747 S Main St, Brigham City, UT 84302-3359 | |
(435) 723-1800 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 747 S Main St, Brigham City, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700839545 | NPI | - | NPPES |
35524 | Other | AVESIS | |
17927 | Other | MEDICARE | |
410985054-165 | Medicaid | UT | |
CP2230-41 | Other | EYEMED | |
014104 | Other | VIP | |
UT04883 | Other | UT | NORIDIAN SUBMITTER ID |
Mailing Address | Practice Location Address |
---|---|
747 S Main St, Brigham City, UT 84302-3359 Ph: (435) 723-1800 | 747 S Main St, Brigham City, UT 84302-3359 Ph: (435) 723-1800 |