| |
5959 S State St, Murray, UT 84107-7222 | |
(801) 261-1113 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 5959 S State St, Murray, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437101698 | NPI | - | NPPES |
014082 | Other | VIP | |
17916 | Other | MEIDCARE | |
410985054-084 | Medicaid | UT | |
UT04873 | Other | UT | NORIDIAN SUBMITTER ID |
CP2230-44 | Other | EYEMED | |
42539 | Other | DAVIS |
Mailing Address | Practice Location Address |
---|---|
5959 S State St, Murray, UT 84107-7222 Ph: (801) 261-1113 | 5959 S State St, Murray, UT 84107-7222 Ph: (801) 261-1113 |