| Dr Carlyle Derek Swain, OD | |
|
11328 S Jordan Gtwy, South Jordan, UT 84095-4112 | |
| (801) 571-1364 | |
| Not Available |
| Full Name | Dr Carlyle Derek Swain |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 11328 S Jordan Gtwy, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184725632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 328411-9934 (Utah) | Primary |
| Provider Name | Shoptikal Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407412885 PECOS PAC ID: 1456684471 Enrollment ID: O20190627000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlyle Derek Swain, OD 1107 W 8600 S, West Jordan, UT 84088-8432 Ph: (801) 860-5100 | Dr Carlyle Derek Swain, OD 11328 S Jordan Gtwy, South Jordan, UT 84095-4112 Ph: (801) 571-1364 |
Dr. Ryan J Mortensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11506 S District Dr, Ste 400, South Jordan, UT 84095 Phone: 801-495-4833 Fax: 801-495-4836 | |
Utah Vision Development Center, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3672 W South Jordan Pkwy, Ste 103, South Jordan, UT 84009 Phone: 801-810-1060 | |
Standard Optical Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11514 S 4000 W, Bldg H Suite 103, South Jordan, UT 84009 Phone: 801-727-8711 Fax: 801-727-8714 | |
Ana Schroeder, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10654 S River Heights Dr Ste 110, South Jordan, UT 84095 Phone: 385-475-5099 | |
Jeff Simmons Od Optometrist Medicare: Medicare Enrolled Practice Location: 5474 W Daybreak Pkwy Ste G3, South Jordan, UT 84009 Phone: 801-923-3935 | |
Wasatch View Eye Care L L C Optometrist Medicare: Medicare Enrolled Practice Location: 10412 S 2200 W, South Jordan, UT 84095 Phone: 801-858-2020 Fax: 801-610-2138 |