| |
955 N Main St, Spanish Fork, UT 84660-1150 | |
(801) 798-3557 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 955 N Main St, Spanish Fork, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114970985 | NPI | - | NPPES |
42506 | Other | DAVIS | |
CP2230-52 | Other | EYEMED | |
410985054-300 | Medicaid | UT | |
17931 | Other | MEDICARE | |
014108 | Other | VIP | |
35536 | Other | AVESIS | |
UT04874 | Other | UT | NORIDIAN SUBMITTER ID |
Mailing Address | Practice Location Address |
---|---|
955 N Main St, Spanish Fork, UT 84660-1150 Ph: (801) 798-3557 | 955 N Main St, Spanish Fork, UT 84660-1150 Ph: (801) 798-3557 |