DR. KERRY ALLEN OKELBERRY (NPI# 1013928118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013928118 |
| Entity Type | Individual |
| Full Name | DR. KERRY ALLEN OKELBERRY |
| Credential | O.D. |
| Practice Address |
6705 Redwood Rd West Jordan UT 84084-2402 |
| Practice Telephone | 8012680866 |
| Practice Fax Number | 8012682092 |
| Mailing Telephone | 8012680866 |
| Mailing Fax Number | 8012682092 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 112-513-9934 | UT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RETIRED RAILROAD MEDICARE | DR 3610 | 01 |
| UT | RAILROAD MEDICARE | 41008204 | 01 |
| Street Address |
6705 REDWOOD RD |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84084-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639264427 | Kerry A Okelberry O D P C | Eyewear Supplier (Equipment, not the service) | 6705 Redwood Rd, West Jordan, UT 84084-2402 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1386267938 | Parker Brown | Dentist | Jordan Valley Dental, 7452 S Campus Drive, West Jordan, UT 84084 | 2020-05-18 |
| 1952809873 | David D. Allred Counseling & Consulting, LLC | Marriage & Family Therapist | 1365 W Green Hedge Way, West Jordan, UT 84084 | 2018-01-25 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1245787829 | Josh Sullivan | Social Worker | 7395 S Paddington Rd, West Jordan, UT 84084 | 2016-09-01 |
| 1457752503 | Eaze Bracing | Prosthetic/Orthotic Supplier | 1324 W 7125 S, West Jordan, UT 84084 | 2014-09-09 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1659612737 | Lifecare Specialty | Pharmacy | 1646 Sunrise Place Ste B, West Jordan, UT 84084 | 2013-03-14 |
| 1518217942 | Luciane Lopes De Oliveira | Student in an Organized Health Care Education/Training Program | 7601 Redwood Road, West Jordan, UT 84084 | 2012-09-13 |
| 1023368636 | Chelsey Tautkus | Social Worker | 7601 South Redwood Road, Building E, West Jordan, UT 84084 | 2012-09-12 |
| Find all providers in zip 84084 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351383 | National Vision Inc | Optometrist | 3857 West Campus View Drive, Suite 110, West Jordan, UT 84084 | 2020-09-16 |
| 1114376746 | Taylor Wade Blanco | Optometrist | 7555 S Center View Ct Ste 101, West Jordan, UT 84084-1970 | 2016-06-04 |
| 1386800639 | Standard Optical | Optometrist | 1656 West 9000 South, West Jordan, UT 84088 | 2008-08-05 |
| 1679615660 | Jordan Vision Clinic PC | Optometrist | 9237 Redwood Rd, Bldg 5a, West Jordan, UT 84088-5812 | 2007-02-13 |
| 1962592782 | Jory T Kimball | Optometrist | 8806 Redwood Rd Ste 101, West Jordan, UT 84088-5194 | 2006-10-13 |
| 1154438182 | Rhett D. Veater | Optometrist | 1656 W 9000 S, West Jordan, UT 84088-9222 | 2006-08-24 |
| 1942238670 | James D. Sargent | Optometrist | 7555 Center View Ct, Ste 101, West Jordan, UT 84084-1970 | 2006-06-29 |
| 1356310940 | Robert Harding Meek | Optometrist | 9237 So. Redwood Road, Suite 5 A, West Jordan, UT 84088 | 2006-03-16 |
| 1932360690 | William Craig Poulter | Optometrist | 7555 Center View Ct, Suite 101, West Jordan, UT 84084-1970 | 2008-06-24 |
| 1063619740 | Healthy Eyes Associates LLC | Optometrist | 8806 Redwood Rd, Ste. 101, West Jordan, UT 84088-9337 | 2007-06-27 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84084 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.