| Dr Scott Roberts Haderlie, OD | |
|
747 S Main St, Brigham City, UT 84302-3359 | |
| (435) 723-1800 | |
| Not Available |
| Full Name | Dr Scott Roberts Haderlie |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 747 S Main St, Brigham City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386694677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1142339934 (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 Scott Roberts Haderlie, OD 747 S Main St, Brigham City, UT 84302-3359 Ph: (435) 723-1800 | Dr Scott Roberts Haderlie, OD 747 S Main St, Brigham City, UT 84302-3359 Ph: (435) 723-1800 |
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. Gavin Lane Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 S Main St, Brigham City, UT 84302 Phone: 435-723-2485 Fax: 435-723-5840 | |
Dr. Tyson Hancock, OD Optometrist Medicare: Not Enrolled in Medicare 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 | |
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 |