| Dr David Boyle Burnett, OD | |
|
4848 S 900 W, Riverdale, UT 84405-3726 | |
| (801) 627-9868 | |
| (801) 627-9870 |
| Full Name | Dr David Boyle Burnett |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4848 S 900 W, Riverdale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073520680 | NPI | - | NPPES |
| 56760929934 | Other | UT | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 56760929934 (Utah) | Primary |
| Provider Name | Luxe Vision Utah Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568002780 PECOS PAC ID: 0446663074 Enrollment ID: O20201228002389 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Boyle Burnett, OD 298 24th St Ste 315, Ogden, UT 84401-1891 Ph: (801) 393-4413 | Dr David Boyle Burnett, OD 4848 S 900 W, Riverdale, UT 84405-3726 Ph: (801) 627-9868 |
Roy Raymond Gibson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4949 S 900 W, Riverdale, UT 84405 Phone: 801-621-0480 Fax: 801-612-3485 | |
Eyecare Wellness Clinic P.l.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-627-9868 Fax: 801-627-9870 | |
Shopko Stores Operating Co. Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4060 Riverdale Rd, Riverdale, UT 84405 Phone: 801-392-4300 | |
Eye Pros Of Ogden Optometrist Medicare: Medicare Enrolled Practice Location: 4115 Riverdale Rd, Riverdale, UT 84405 Phone: 208-297-7019 | |
Boster Vision, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4848 S 900 W, Riverdale, UT 84405 Phone: 801-404-2825 |