| Seeholzer Vision Center, Inc | |
|
124 N Main Street Logan UT 84321 | |
| (435) 752-5334 | |
| (435) 752-5949 |
| Full Name | Seeholzer Vision Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 124 N Main Street, Logan, Utah |
| Authorized Official Name and Position | Jeff H Seeholzer (OWNER) |
| Authorized Official Contact | 4357525334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seeholzer Vision Center, Inc 124 N Main St Logan UT 84321-4526 Ph: (435) 752-5334 | Seeholzer Vision Center, Inc 124 N Main Street Logan UT 84321 Ph: (435) 752-5334 |
| NPI Number | 1386814168 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 7315070174 |
|---|---|
| Medicare Enrollment ID | O20100729000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386814168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 112925-9934 (Utah) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | 112925-9934 (Utah) | Secondary |
| Provider Name | Jeff Harold Seeholzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326196569 PECOS PAC ID: 8224161088 Enrollment ID: I20100729000891 |
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