Paul C Bruderer O D P C in West Valley City - Optometrist
Paul C Bruderer O D P C - NPI 1427241843
Paul C Bruderer O D P C is a Optometrist in West Valley City, Utah. Paul C Bruderer O D P C practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Paul C Bruderer O D P C is 1427241843. The last update date is 2022-02-04.
Paul C Bruderer O D P C's current location address is 2782 S 5600 W Ste 101, West Valley City, Utah. You can contact this provider via phone number 8019699999 and fax number 8017461007. The mailing address for Paul C Bruderer O D P C is 2782 S 5600 W Ste 101, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paul C Bruderer O D P C |
|---|---|
| Address | 2782 S 5600 W Ste 101, West Valley City, Utah |
| Phone Number | 8019699999 |
| Fax Number | 8017461007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bruderer Christian Paul |
| Telephone Number | 8019699999 |
NPI Number Detail
| NPI Number | 1427241843 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2022-02-04 |
Provider Mailing Address Detail
| Address | 2782 S 5600 W Ste 101 |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 841205592 |
| Phone Number | 8019699999 |
| Fax Number | 8017461007 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4942085-9934 |
|
Definition: 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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7664549 | AETNA | ||
| 2157848 | FIRST HEALTH | ||
| 528558921001 | UT | -- | |
| 81648 | PEHP | ||
| IDX5199969 | UT | UNIVERSITY HEALTH CARE | |
| TPRA08151 | UT | MOLINA HEALTHCARE | |
| 49420859901 | BLUE CROSS BLUE SHIELD | ||
| 291777 | ALTIUS | ||
| 5510561 | CCN | ||
| 788511 | DESERET MUTUAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Paul C Bruderer O D P C by the Centers for Medicare & Medicaid Services?
The Paul C Bruderer O D P C has been issued the NPI (National Provider Identifier) 1427241843, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Paul C Bruderer O D P C's physical address?
The Paul C Bruderer O D P C is physically located at 2782 S 5600 W Ste 101, in the city of West Valley City, UT, with the postal code 841205592.
What is the area of specialization for Paul C Bruderer O D P C, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul C Bruderer O D P C is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Paul C Bruderer O D P C receive its 1427241843 assignment from the Centers for Medicare & Medicaid Services?
The Paul C Bruderer O D P C was assigned its 1427241843 by the Centers for Medicare & Medicaid Services on 2007-08-20.
When was the information pertaining to Paul C Bruderer O D P C most recently updated or revised?
The details related to Paul C Bruderer O D P C, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-04.