Bountiful Vision Plaza Pc - Medicare Optometrist in Bountiful, UT

Bountiful Vision Plaza Pc is a medicare enrolled "Optometrist" provider in Bountiful, Utah. Their current practice location is 311 E 500 S, Bountiful, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 295-4441.

Bountiful Vision Plaza Pc is licensed to practice in Utah (license number 1128829934) and it also participates in the medicare program. Bountiful Vision Plaza Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1558434613.

Contact Information

Bountiful Vision Plaza Pc
311 E 500 S,
Bountiful, UT 84010-4924
(801) 295-4441
(801) 294-5416



Healthcare Provider's Profile

Full NameBountiful Vision Plaza Pc
TypeFacility
SpecialityOptometrist
Location311 E 500 S, Bountiful, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558434613
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 10/08/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4486730868
  • Enrollment ID: O20080326000053

Medical Identifiers

Medical identifiers for Bountiful Vision Plaza Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558434613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1128829934 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bountiful Vision Plaza Pc acts as a billing entity for following providers:
Provider NameDouglas R Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1487846655
PECOS PAC ID: 5193809119
Enrollment ID: I20080228000394

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bountiful Vision Plaza Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bountiful Vision Plaza Pc
311 E 500 S,
Bountiful, UT 84010-4924

Ph: (801) 295-4441
Bountiful Vision Plaza Pc
311 E 500 S,
Bountiful, UT 84010-4924

Ph: (801) 295-4441

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Optometrist in Bountiful, UT

Dr. Robert Murray Wilkes, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 140 S Main St, Bountiful, UT 84010
Phone: 801-295-2020    Fax: 801-292-5575
Shopko Optical 107
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 190 S 500 W, Bountiful, UT 84010
Phone: 801-295-9200    
Dr. Adam Barry Rudd, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 70 N Main St, Bountiful, UT 84010
Phone: 801-292-1408    Fax: 801-292-1966
Duane Knowles, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 140 W 5th S, Bountiful, UT 84010
Phone: 801-292-0479    Fax: 801-292-7019
Bountiful Eye Care Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 140 S Main St, Bountiful, UT 84010
Phone: 801-295-2020    Fax: 801-292-8761
Shawn Page Murray, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 190 S 500 W, Bountiful, UT 84010
Phone: 801-295-9200    Fax: 801-292-9390
Dr. Daniel Wayne Pace, O.D
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 70 N Main St, Suite 102, Bountiful, UT 84010
Phone: 801-292-1408    Fax: 801-292-1966

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