Robert P Wooldridge Od Pc

LBN: Robert P Wooldridge Od Pc
Robert P Wooldridge Od Pc is an health care organization with primary practice located at 201 E 5900 S Ste 201 , Murray UT 84107-5431. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Robert P Wooldridge Od Pc can be contacted via phone (801) 268-6408, or through Wooldridge, Robert P via phone (801) 268-6408.

Contact Information

Primary practice address
201 E 5900 S Ste 201 Murray UT 84107-5431
Phone: (801) 268-6408
Fax: (801) 262-9216
Website:
Map and Directions
Authorized official contact:
Name: Wooldridge, Robert P Doctor of Optometry (OD)
Phone: (801) 268-6408

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1126319934 Utah

Profile Details

NPI number 1053565788
LBN Legal business name Robert P Wooldridge Od Pc
DBA Doing business as
Authorized official Wooldridge, Robert P Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2008
Last updated Nov 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053565788 NPPES
Utah MEDICAID 419840939008

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