| Lanny F Duclos Od Pc | |
|
88 E 700 N, Suite A, Tooele, UT 84074-1818 | |
| (435) 882-6452 | |
| (435) 882-3170 |
| Full Name | Lanny F Duclos Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 88 E 700 N, Tooele, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972685402 | NPI | - | NPPES |
| 528118588003 | Medicaid | UT | |
| 0005327246 | Other | UT | AETNA |
| 101001656101 | Other | UT | SELECT HEALTH |
| 10898 | Medicaid | UT | |
| 17036 | Other | UT | HOMETOWN HEALTH |
| 80314 | Medicaid | UT | |
| 258200 | Other | UT | DMBA |
| W0620 | Medicaid | UT | |
| 100510174 | Medicaid | NV | |
| TPRA06734 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 113879-9934 (Utah) | Primary |
| Provider Name | Lanny F Duclos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508827262 PECOS PAC ID: 0446251938 Enrollment ID: I20070126000001 |
| Provider Name | Bernadette N Lynch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861640658 PECOS PAC ID: 8224190962 Enrollment ID: I20090602000185 |
| Provider Name | Clifford J Parker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841820792 PECOS PAC ID: 6800223660 Enrollment ID: I20200303001723 |
| Mailing Address | Practice Location Address |
|---|---|
| Lanny F Duclos Od Pc 88 E 700 N, Suite A, Tooele, UT 84074-1818 Ph: (435) 882-6452 | Lanny F Duclos Od Pc 88 E 700 N, Suite A, Tooele, UT 84074-1818 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 | |
Dr. Lanny F Duclos, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 88 E 700 N, Ste A, Tooele, UT 84074 Phone: 435-882-6452 Fax: 435-882-3170 | |
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 |