| Box Elder Family Vision | |
|
34 S Main St, Brigham City, UT 84302-2527 | |
| (435) 723-2485 | |
| (435) 723-5840 |
| Full Name | Box Elder Family Vision |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 34 S Main St, Brigham City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811217383 | NPI | - | NPPES |
| 528920068006 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | 1125909934 (Utah) | Secondary |
| Provider Name | Larry D Terry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437137379 PECOS PAC ID: 2264564053 Enrollment ID: I20100727000898 |
| Mailing Address | Practice Location Address |
|---|---|
| Box Elder Family Vision 34 S Main St, Brigham City, UT 84302-2527 Ph: (435) 723-2485 | Box Elder Family Vision 34 S Main St, Brigham City, UT 84302-2527 Ph: (435) 723-2485 |
Dr. Joseph C. Olson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 547 S Main St, Brigham City, UT 84302 Phone: 435-723-2144 Fax: 435-723-4760 | |
Dr. William L Harrison, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 111 E Forest St, Suite E, Brigham City, UT 84302 Phone: 435-723-2144 Fax: 435-723-4760 | |
Dr. Gavin Lane Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 S Main St, Brigham City, UT 84302 Phone: 435-723-2485 Fax: 435-723-5840 | |
Dr. Richard J. Bigler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 990 South Medical Drive, Suite Gl3, Brigham City, UT 84302 Phone: 435-734-2097 Fax: 435-734-0532 | |
Dr. Scott Roberts Haderlie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 747 S Main St, Brigham City, UT 84302 Phone: 435-723-1800 | |
Brigham/farr West Eye Specialists Optometrist Medicare: Medicare Enrolled Practice Location: 990 Medical Dr, Brigham City, UT 84302 Phone: 435-734-2097 Fax: 435-734-0532 | |
Dr. Larry D Terry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 S Main St, Brigham City, UT 84302 Phone: 435-723-2485 Fax: 435-723-5840 |