| Vision Source At Jordan Landing | |
|
7555 Center View Ct, Suite 101, West Jordan, UT 84084-1970 | |
| (801) 566-5683 | |
| (801) 255-8371 |
| Full Name | Vision Source At Jordan Landing |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7555 Center View Ct, West Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558487975 | NPI | - | NPPES |
| 303540236001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 108971-9934 (Utah) | Primary |
| Provider Name | William C Poulter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932360690 PECOS PAC ID: 4587730361 Enrollment ID: I20080902000126 |
| Provider Name | Jeremy Gerritsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538321237 PECOS PAC ID: 2062565781 Enrollment ID: I20090728000842 |
| Provider Name | Dale Frank Hardy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356343487 PECOS PAC ID: 0648200352 Enrollment ID: I20120229000461 |
| Provider Name | Stephanie A Castle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679887962 PECOS PAC ID: 2365678455 Enrollment ID: I20131120000001 |
| Provider Name | Taylor Blanco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114376746 PECOS PAC ID: 7810282829 Enrollment ID: I20160829002746 |
| Provider Name | Marlyn Andrew Kyle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669964359 PECOS PAC ID: 0547697625 Enrollment ID: I20200302002040 |
| Provider Name | Michael Mark Monson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205927175 PECOS PAC ID: 5799758389 Enrollment ID: I20221229002167 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source At Jordan Landing 7555 Center View Ct, Suite 101, West Jordan, UT 84084-1970 Ph: (801) 566-5683 | Vision Source At Jordan Landing 7555 Center View Ct, Suite 101, West Jordan, UT 84084-1970 Ph: (801) 566-5683 |
Dr. Kerry Allen Okelberry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6705 Redwood Rd, West Jordan, UT 84084 Phone: 801-268-0866 Fax: 801-268-2092 | |
Hau Andy Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 Phone: 801-601-3231 | |
Sheri Meyer O.d. Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6705 S Redwood Rd, West Jordan, UT 84084 Phone: 801-268-0866 | |
Healthy Eyes For Life Optometrist Medicare: Medicare Enrolled Practice Location: 8806 Redwood Rd, Ste. 101, West Jordan, UT 84088 Phone: 801-578-2020 Fax: 801-748-4892 | |
Mobile Vision Consultants, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7533 S Center View Ct Ste 4195, West Jordan, UT 84084 Phone: 775-375-8869 | |
Dr. Taylor Wade Blanco, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7555 S Center View Ct Ste 101, West Jordan, UT 84084 Phone: 801-566-5683 | |
Rhett D. Veater, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1656 W 9000 S, West Jordan, UT 84088 Phone: 801-255-5454 Fax: 801-255-1109 |