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ROBERT P WOOLDRIDGE OD PC NPI 1053565788


NPI Information

NPI: 1053565788
Provider Name: ROBERT P WOOLDRIDGE OD PC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 46D0523814

Address:
201 E 5900 S STE 201
MURRAY, UT
ZIP 84107
Phone: (801) 268-6408
Get Directions

ROBERT P WOOLDRIDGE OD PC is an optometrist in Murray, UT. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ROBERT P WOOLDRIDGE OD PC NPI is 1053565788. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 E 5900 S STE 201
MURRAY, UT
ZIP 84107-431
Phone: (801) 268-6408
Fax: (801) 262-9216

The provider's authorized official is Robert P Wooldridge .
The authorized official title is Director and has the following contact phone number (801) 268-6408.

The CLIA number assigned to this NPI record is 46D0523814 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2008 and was last updated on 11/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist1126319934UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1419840939008MEDICAIDUTAH
2000009911MEDICARE UPINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.