| Rocky Mountain University Health Center | |
|
970 S Emery St, Slc, UT 84104-2050 | |
| (385) 248-5550 | |
| Not Available |
| Full Name | Rocky Mountain University Health Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 970 S Emery St, Slc, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861141822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Darin R Cummings |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306805007 PECOS PAC ID: 9739085143 Enrollment ID: I20040107000979 |
| Provider Name | Spencer D Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487747408 PECOS PAC ID: 1254365034 Enrollment ID: I20050922001063 |
| Provider Name | Robin S Price |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932205440 PECOS PAC ID: 0244299600 Enrollment ID: I20070201000665 |
| Provider Name | Court R Wilkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780679613 PECOS PAC ID: 8729200787 Enrollment ID: I20141107000969 |
| Provider Name | Jefferson R Langford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265446751 PECOS PAC ID: 7618973934 Enrollment ID: I20160802002160 |
| Provider Name | James Michael Leigh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770887762 PECOS PAC ID: 2769666353 Enrollment ID: I20170609001512 |
| Provider Name | Robert Kimball Roden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407337280 PECOS PAC ID: 7416281621 Enrollment ID: I20190621001679 |
| Provider Name | Adam L Hickenbotham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063462778 PECOS PAC ID: 3577576115 Enrollment ID: I20220926002120 |
| Provider Name | Zanna Kruoch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629208038 PECOS PAC ID: 0547314619 Enrollment ID: I20230324002263 |
| Provider Name | Matthew Orgill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073091294 PECOS PAC ID: 1951757756 Enrollment ID: I20231031001912 |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain University Health Center 122 E 1700 S, Provo, UT 84606-5644 Ph: (385) 248-5550 | Rocky Mountain University Health Center 970 S Emery St, Slc, UT 84104-2050 Ph: (385) 248-5550 |
Confederated Tribes Of The Goshute Indian Reservation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 660 S 200 E Ste 250, Slc, UT 84111 Phone: 801-359-2256 |