| Dr Gavin Lane Johnson, OD | |
|
34 S Main St, Brigham City, UT 84302-2527 | |
| (435) 723-2485 | |
| (435) 723-5840 |
| Full Name | Dr Gavin Lane Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 34 S Main St, Brigham City, 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 |
|---|---|---|---|
| 1194340745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 12753476-9934 (Utah) | Primary |
| Provider Name | Gavin L Johnson Od Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699478545 PECOS PAC ID: 4284081878 Enrollment ID: O20231102003600 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gavin Lane Johnson, OD 110 E 750 N, Mantua, UT 84324-4343 Ph: (435) 730-3998 | Dr Gavin Lane Johnson, OD 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: Not Enrolled in Medicare Practice Location: 111 E Forest St, Suite E, Brigham City, UT 84302 Phone: 435-723-2144 Fax: 435-723-4760 | |
Dr. Tyson Hancock, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 547 S Main St, Brigham City, UT 84302 Phone: 435-723-2144 | |
Dr. Richard J. Bigler, O.D. Optometrist Medicare: Medicare Enrolled 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 Eye Specialists Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 990 Medical Dr, Brigham City, UT 84302 Phone: 435-734-2097 Fax: 435-734-0532 |