| Dr Thomas J J Oberg, MD | |
|
5200 S Highland Dr Ste 201, Holladay, UT 84117-7003 | |
| (801) 363-3356 | |
| (801) 533-9613 |
| Full Name | Dr Thomas J J Oberg |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 16 Years |
| Location | 5200 S Highland Dr Ste 201, Holladay, 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 |
|---|---|---|---|
| 1801021126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 7771826-1205 (Utah) | Primary |
| 207W00000X | Ophthalmology | 7771826-1205 (Utah) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta View Hospital | Sandy, UT | Hospital |
| Salt Lake Regional Medical Center | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Eye Care | 3375520091 | 4 |
| Oculoplastic Surgery Inc | 5799766671 | 2 |
| Entity Name | Oculoplastic Surgery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578780805 PECOS PAC ID: 5799766671 Enrollment ID: O20040526001234 |
| Entity Name | Advanced Eye Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427248467 PECOS PAC ID: 3375520091 Enrollment ID: O20040701000256 |
| Entity Name | Eye Institute Of Utah Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366515041 PECOS PAC ID: 3678556438 Enrollment ID: O20040825001284 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas J J Oberg, MD 755 E 3900 S, Salt Lake City, UT 84107-2105 Ph: (520) 349-6140 | Dr Thomas J J Oberg, MD 5200 S Highland Dr Ste 201, Holladay, UT 84117-7003 Ph: (801) 363-3356 |
Dr. Maximilian Psolka, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4878 S Highland Dr, Holladay, UT 84117 Phone: 801-272-8861 | |
P Wade Wyatt, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4878 Highland Dr, Holladay, UT 84117 Phone: 801-272-8861 Fax: 801-272-8867 |