| Dr Lanny F Duclos, OD | |
|
88 E 700 N, Ste A, Tooele, UT 84074-1817 | |
| (435) 882-6452 | |
| (435) 882-3170 |
| Full Name | Dr Lanny F Duclos |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 88 E 700 N, Tooele, 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 |
|---|---|---|---|
| 1508827262 | NPI | - | NPPES |
| 1804229 | Other | UT | WORKERS COMPENSATION |
| 39123 | Other | UT | PEHP |
| TPRA06734 | Medicaid | UT | |
| 10898 | Medicaid | UT | |
| PR07206 | Medicaid | UT | |
| QM0000016583 | Other | UT | ALTIUS |
| D1110 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1138799934 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lanny F Duclos Od Pc | 0547363822 | 3 |
| Provider Name | Lanny F Duclos Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972685402 PECOS PAC ID: 0547363822 Enrollment ID: O20070306000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lanny F Duclos, OD 88 E 700 N, Ste A, Tooele, UT 84074-1817 Ph: (435) 882-6452 | Dr Lanny F Duclos, OD 88 E 700 N, Ste A, Tooele, UT 84074-1817 Ph: (435) 882-6452 |
Jed C Winder Od, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 300 S Main St, Tooele, UT 84074 Phone: 435-882-3233 Fax: 435-882-1626 | |
David K. Morrill O D P C Optometrist Medicare: Medicare Enrolled Practice Location: 102 W 1180 N Ste 2, Tooele, UT 84074 Phone: 435-882-8439 | |
Edwin C Winder Iii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 S Main St, Tooele, UT 84074 Phone: 435-882-3233 | |
Standard Optical Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 196 E 2000 N, Suite 101, Tooele, UT 84074 Phone: 801-255-5454 Fax: 801-255-1109 | |
David Kay Morrill, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 W 1180 N Ste 2, Tooele, UT 84074 Phone: 435-882-8439 Fax: 435-882-1914 | |
Dr. Michael Scott Bean, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 99 W 1280 N, Tooele, UT 84074 Phone: 435-833-9043 |