St George Eye Center Llc | |
1054 E Riverside Dr, 201, Saint George, UT 84790-4825 | |
(435) 628-4507 | |
(435) 628-3748 |
Full Name | St George Eye Center Llc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1054 E Riverside Dr, Saint George, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073996344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 375881-9934 (Utah) | Secondary |
207W00000X | Ophthalmology | 6160962-1205 (Utah) | Primary |
207W00000X | Ophthalmology | 7154752-1205 (Utah) | Secondary |
Provider Name | Jason Wayne Hendrix |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831117167 PECOS PAC ID: 2961408448 Enrollment ID: I20061005000285 |
Provider Name | David Slade |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1598918666 PECOS PAC ID: 8123297074 Enrollment ID: I20110809000899 |
Provider Name | Marcos Reyes |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942485842 PECOS PAC ID: 6507990033 Enrollment ID: I20150729008806 |
Provider Name | Nicholas L Behunin |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1235575242 PECOS PAC ID: 3678796000 Enrollment ID: I20181226001226 |
Provider Name | Kierstin Chantal Lealiiee |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1124644182 PECOS PAC ID: 1254751043 Enrollment ID: I20201016000360 |
Provider Name | Joshua Terry |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821298456 PECOS PAC ID: 4789771049 Enrollment ID: I20210201002341 |
Provider Name | Nathan Anderson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902397094 PECOS PAC ID: 3274875034 Enrollment ID: I20230502002233 |
Mailing Address | Practice Location Address |
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St George Eye Center Llc 1054 E Riverside Dr, 201, Saint George, UT 84790-4825 Ph: (435) 628-4507 | St George Eye Center Llc 1054 E Riverside Dr, 201, Saint George, UT 84790-4825 Ph: (435) 628-4507 |