Unknown Individual – Ophthalmology Physician, NPI 1083704670
Ophthalmology Physician
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Provider Addresses for Unknown Individual
700 East, Sugar House, South Salt Lake, Salt Lake County, Utah, 84106, United States
SALT LAKE CITY, UT 841073053
Phone: (801) 264-4464
Type: Mailing
700 East, East Liberty Park, Salt Lake City, Salt Lake County, Utah, 84105-1128, United States
240
SALT LAKE CITY, UT 841073053
Phone: (801) 264-4464
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84107)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | UT | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 264 | 192 |
| OPHTHALMOLOGY | UT | 92083 | Measurement of field of vision during daylight conditions | 29 | 28 |
| OPHTHALMOLOGY | UT | 92134 | Diagnostic imaging of retina | 26 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Emergency Medicine | CO | |
| - | UT | |
| A N E S T H E S I O L O G Y | UT | |
| Physician Assistant | UT | |
| - | IL | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | CA | |
| A N E S T H E S I O L O G Y | UT |
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