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225 E Main St, Ste E, Grantsville, UT 84029-9030 | |
(435) 884-6562 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 225 E Main St, Grantsville, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144484718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 6630201-9934 (Utah) | Primary |
Provider Name | Ryan S Orgill |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598962755 PECOS PAC ID: 8921183948 Enrollment ID: I20080314000055 |
Mailing Address | Practice Location Address |
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225 E Main St, Ste E, Grantsville, UT 84029-9030 Ph: (435) 884-6562 | 225 E Main St, Ste E, Grantsville, UT 84029-9030 Ph: (435) 884-6562 |
Dr. Ryan Scott Orgill, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 225 E Main St, Suite E, Grantsville, UT 84029 Phone: 435-249-0530 Fax: 435-249-0532 |