South Valley Eyecare Center, Inc. | |
276 Springcreek Pkwy, Providence, UT 84332 | |
(435) 713-4444 | |
(435) 787-1238 |
Full Name | South Valley Eyecare Center, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 276 Springcreek Pkwy, Providence, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528299245 | NPI | - | NPPES |
615808 | Other | UT | DMBA |
QM0000053383 | Other | UT | ALTIUS |
51811974400001 | Other | UT | BLUE CROSS BLUE SHIELD |
518119744008 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 346644-9934 (Utah) | Primary |
Provider Name | David A Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417067950 PECOS PAC ID: 3274683818 Enrollment ID: I20090602000680 |
Mailing Address | Practice Location Address |
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South Valley Eyecare Center, Inc. 276 Springcreek Pkwy, Providence, UT 84332 Ph: (435) 713-4444 | South Valley Eyecare Center, Inc. 276 Springcreek Pkwy, Providence, UT 84332 Ph: (435) 713-4444 |
David Alan Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 276 N. Springcreek Pkwy, Providence, UT 84332 Phone: 435-713-4444 Fax: 435-787-1238 | |
Dr. Callin Passey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 517 W 100 N Ste 110, Providence, UT 84332 Phone: 435-755-6075 Fax: 435-374-0502 |