| Kow Holdings Llc | |
|
228 E 6400 S Murray UT 84107-7305 | |
| (801) 263-9125 | |
| Not Available |
| Full Name | Kow Holdings Llc |
|---|---|
| Speciality | Eyewear Supplier |
| Location | 228 E 6400 S, Murray, Utah |
| Authorized Official Name and Position | Riley Risto (MANAGING MEMBER) |
| Authorized Official Contact | 4353059014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kow Holdings Llc 345 W 600 S Ste 118 Heber City UT 84032-2283 Ph: (435) 305-9014 | Kow Holdings Llc 228 E 6400 S Murray UT 84107-7305 Ph: (801) 263-9125 |
| NPI Number | 1619653789 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 7214479534 |
|---|---|
| Medicare Enrollment ID | O20240603000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619653789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
| Provider Name | Andrew Gc Helman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104050483 PECOS PAC ID: 4981924255 Enrollment ID: I20151014003065 |
| Provider Name | Benjamin M Collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174752174 PECOS PAC ID: 2961548904 Enrollment ID: I20220713003472 |
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