| Vision Source Of South Ogden | |
|
5331 Adams Ave Pkwy Ste B, Ogden, UT 84405-4755 | |
| (801) 479-7850 | |
| Not Available |
| Full Name | Vision Source Of South Ogden |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5331 Adams Ave Pkwy Ste B, Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538807573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Todd W Mumford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255412771 PECOS PAC ID: 9234318072 Enrollment ID: I20110125000853 |
| Provider Name | Ian Garrett Whipple |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487940466 PECOS PAC ID: 4082883509 Enrollment ID: I20120515000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Of South Ogden 1741 N 2000 W Ste 7, Farr West, UT 84404-9811 Ph: (801) 643-1001 | Vision Source Of South Ogden 5331 Adams Ave Pkwy Ste B, Ogden, UT 84405-4755 Ph: (801) 479-7850 |
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Dr. Easton Clint Kelsey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3651 Wall Ave Ste 1226, Ogden, UT 84405 Phone: 480-732-9040 | |
Austin Giles, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3475 Harrison Blvd, Ogden, UT 84403 Phone: 801-394-8885 | |
Jacob Lambertson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3651 Wall Ave Ste 1226, Ogden, UT 84405 Phone: 801-901-3346 | |
Dr. Jeremiah V Church, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 875 Country Hills Dr, Ogden, UT 84403 Phone: 801-399-1149 | |
Family Vision Care Of Ogden Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1055 N Washington Blvd, Ogden, UT 84404 Phone: 801-394-5709 Fax: 801-394-5710 |