Provider Demographics
NPI:1427115831
Name:BRIGHAM EYE SPECIALISTS INC.
Entity type:Organization
Organization Name:BRIGHAM EYE SPECIALISTS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:D
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-734-2097
Mailing Address - Street 1:990 SOUTH MEDICAL DR
Mailing Address - Street 2:STE G3
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-4713
Mailing Address - Country:US
Mailing Address - Phone:435-734-2097
Mailing Address - Fax:435-734-0532
Practice Address - Street 1:990 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:BRIGHAM CITY
Practice Address - State:UT
Practice Address - Zip Code:84302-4713
Practice Address - Country:US
Practice Address - Phone:435-734-2097
Practice Address - Fax:435-734-0532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT114009-9934152W00000X
UT171336-1205174400000X
UT3482731205174400000X
UT1713361205332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1487653218Medicaid
UT1558858464Medicaid
ID003026200Medicaid
UT1760607782Medicaid
UT180002306OtherRAIL ROAD MEDICARE
UT1235138066Medicaid
UT000061704Medicare UPIN
UT1760607782Medicaid
UT000055400Medicare PIN
UT1235138066Medicaid
UT000002463Medicare PIN
ID003026200Medicaid
UT1760607782Medicare PIN