| Dr Agnieszka Krol, OD | |
|
200 N Market Place Dr, Centerville, UT 84014-1752 | |
| (801) 295-7118 | |
| (801) 295-7123 |
| Full Name | Dr Agnieszka Krol |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 200 N Market Place Dr, Centerville, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467012781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046.011314 (Illinois) | Primary |
| Provider Name | Kings Peak Vision, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811613185 PECOS PAC ID: 4789047432 Enrollment ID: O20230828003018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Agnieszka Krol, OD 869 E 4500 S Ste 270, Salt Lake City, UT 84107-3049 Ph: (801) 992-9281 | Dr Agnieszka Krol, OD 200 N Market Place Dr, Centerville, UT 84014-1752 Ph: (801) 295-7118 |
Shoptikal Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 331 W Parrish Ln Ste 104, Centerville, UT 84014 Phone: 385-330-2211 | |
Craig Pew O.d., Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 N Market Place Dr, Centerville, UT 84014 Phone: 801-295-7118 Fax: 801-295-7123 | |
Dr. Craig A Pew, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 N Market Place Dr, Centerville, UT 84014 Phone: 801-295-7118 | |
Dr. Mason Matthew Wybrow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 308 N Market Place Dr, Centerville, UT 84014 Phone: 801-294-6111 Fax: 801-294-6222 |