| Wasatch Vision Clinic Llc | |
|
849 E 400 S, Salt Lake City, UT 84102-2928 | |
| (801) 328-2020 | |
| (801) 363-2201 |
| Full Name | Wasatch Vision Clinic Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 849 E 400 S, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255517637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Utah) | Primary |
| Provider Name | Chelle Nickle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144303983 PECOS PAC ID: 4385549930 Enrollment ID: I20060128000036 |
| Provider Name | Camron J Bateman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902839905 PECOS PAC ID: 1951309525 Enrollment ID: I20061114000319 |
| Provider Name | Nathan Degn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619498375 PECOS PAC ID: 8022389436 Enrollment ID: I20170803001259 |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Vision Clinic Llc 849 E 400 S, Salt Lake City, UT 84102-2928 Ph: (801) 328-2020 | Wasatch Vision Clinic Llc 849 E 400 S, Salt Lake City, UT 84102-2928 Ph: (801) 328-2020 |
Dr. Michael D Conklin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 Fax: 801-484-8664 | |
Sean Patrick Cushman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 755 E 3900 S, Salt Lake City, UT 84107 Phone: 801-266-2283 Fax: 801-268-6151 | |
Cori Marie Jones, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 Foothill Dr, Salt Lake City, UT 84148 Phone: 316-633-2244 | |
Harlin Optometry, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 Hope Ave, Salt Lake City, UT 84115 Phone: 801-484-8662 | |
Terry M Hansen Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2828 W 4700 S, Suite D, Salt Lake City, UT 84118 Phone: 801-966-6201 Fax: 801-966-6609 | |
Mrs. Karri A Buresh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 E 300 S, Berner Eye Clinic, Salt Lake City, UT 84111 Phone: 801-322-0467 Fax: 801-363-6053 | |
Dr. Bradley Dallas Freestone, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Dr, 117lv, Salt Lake City, UT 84148 Phone: 801-582-1565 Fax: 801-588-5817 |