| Jed C Winder Od, Pc | |
|
300 S Main St, Tooele, UT 84074-2746 | |
| (435) 882-3233 | |
| (435) 882-1626 |
| Full Name | Jed C Winder Od, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 300 S Main St, 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 |
|---|---|---|---|
| 1245317445 | NPI | - | NPPES |
| 528869987001 | Medicaid | UT | |
| 529296615001 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5354338-9934 (Utah) | Primary |
| Provider Name | Edwin C Winder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457369621 PECOS PAC ID: 1052218401 Enrollment ID: I20031215000741 |
| Mailing Address | Practice Location Address |
|---|---|
| Jed C Winder Od, Pc 300 S Main St, Tooele, UT 84074-2746 Ph: (435) 882-3233 | Jed C Winder Od, Pc 300 S Main St, Tooele, UT 84074-2746 Ph: (435) 882-3233 |
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 |