| Child And Family Eye Care Center | |
|
981 S Main St Ste 220 Logan UT 84321-6055 | |
| (435) 363-2980 | |
| (435) 514-0075 |
| Full Name | Child And Family Eye Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 981 S Main St Ste 220, Logan, Utah |
| Authorized Official Name and Position | Michael Wayne Cole (OWNER) |
| Authorized Official Contact | 4353632980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Eye Care Center 981 S Main St Ste 220 Logan UT 84321-6055 Ph: (435) 363-2980 | Child And Family Eye Care Center 981 S Main St Ste 220 Logan UT 84321-6055 Ph: (435) 363-2980 |
| NPI Number | 1104209188 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 8527373596 |
|---|---|
| Medicare Enrollment ID | O20150819009441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104209188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9413616-9934 (Utah) | Primary |
| Provider Name | Michael Wayne Cole |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689970667 PECOS PAC ID: 9436464401 Enrollment ID: I20150819009491 |
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