| Bruce Lundin Od Llc | |
|
1550 N Main St, North Logan, UT 84341-1918 | |
| (435) 753-3906 | |
| Not Available |
| Full Name | Bruce Lundin Od Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1550 N Main St, North Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942746342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 279166-9934 (Utah) | Primary |
| Provider Name | Bruce Lundin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750336152 PECOS PAC ID: 2365485778 Enrollment ID: I20200804001165 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Lundin Od Llc 1550 N Main St, North Logan, UT 84341-1918 Ph: (435) 753-3906 | Bruce Lundin Od Llc 1550 N Main St, North Logan, UT 84341-1918 Ph: (435) 753-3906 |
Vision Care 20/20 Of Nevada Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1550 N Main, North Logan, UT 84341 Phone: 435-753-3906 Fax: 435-753-3918 | |
Visionhealth Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1550 N Main St, Inside Walmart Vision Center, North Logan, UT 84341 Phone: 435-753-3906 Fax: 435-753-3918 |