| Dr Jed T Poll, MD | |
|
4360 Washington Blvd, Ogden, UT 84403-1866 | |
| (801) 476-0494 | |
| (801) 476-0067 |
| Full Name | Dr Jed T Poll |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 21 Years |
| Location | 4360 Washington Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376656124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 7143320-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mt Ogden Eye Center Llc | 2860474962 | 15 |
| Entity Name | Mt Ogden Eye Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700927043 PECOS PAC ID: 2860474962 Enrollment ID: O20040602001630 |
| Entity Name | Eye Care Group Of Utah Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407809551 PECOS PAC ID: 6800807207 Enrollment ID: O20060524000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jed T Poll, MD 4360 Washington Blvd, Ogden, UT 84403-1866 Ph: (801) 476-0494 | Dr Jed T Poll, MD 4360 Washington Blvd, Ogden, UT 84403-1866 Ph: (801) 476-0494 |
Mr. Michael B Wilcox, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 Fax: 801-476-0067 | |
Dr. Scott Owen Sykes, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 | |
Dr. Brice Jason Williams, M.D., PH.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd., Suite 3600, Ogden, UT 84403 Phone: 801-387-3550 Fax: 801-387-3555 | |
Dr. Jason D Rupp, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 875 Country Hills Dr, Ogden, UT 84403 Phone: 314-362-3431 Fax: 314-362-6564 | |
Michael Lonnie Bullard, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 Fax: 801-476-0067 | |
Dr. Mark G Ballif, M.D., Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4360 Washington Blvd, Ogden, UT 84403 Phone: 801-476-0494 |