| Dr Ronald Kirk, OD | |
|
910 S 300 W, Blanding, UT 84511-3921 | |
| (435) 678-2324 | |
| (435) 678-3344 |
| Full Name | Dr Ronald Kirk |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 910 S 300 W, Blanding, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780623595 | NPI | - | NPPES |
| 98013139 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 112805-9934 (Utah) | Primary |
| Provider Name | Utah Navajo Health System Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald Kirk, OD Po Box 130, Montezuma Creek, UT 84534-0130 Ph: (435) 678-2324 | Dr Ronald Kirk, OD 910 S 300 W, Blanding, UT 84511-3921 Ph: (435) 678-2324 |
Maverik Nicholas Shumway, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-0590 | |
Dr. Stephen Burton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-3601 | |
Utah Navajo Health System Incorporated Optometrist Medicare: Not Enrolled in Medicare Practice Location: 910 S 300 W, Blanding, UT 84511 Phone: 435-678-2324 | |
Ronald D Kirk O D Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 46 N Main St, Blanding, UT 84511 Phone: 435-678-2324 Fax: 435-678-3344 |