DR. PAUL CHRISTIAN BRUDERER (NPI# 1316956576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316956576 |
| Entity Type | Individual |
| Full Name | DR. PAUL CHRISTIAN BRUDERER |
| Credential | O.D. |
| Practice Address |
2782 S 5600 W Ste 101 West Valley City UT 84120-5592 |
| Practice Telephone | 8019699999 |
| Practice Fax Number | 8017461007 |
| Mailing Telephone | 8019699999 |
| Mailing Fax Number | 8017461007 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4942085-9934 | UT | Eye and Vision Services Providers |
| Street Address |
2782 S 5600 W STE 101 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-5592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| 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 |
|---|---|---|---|---|
| 1225651011 | Bethany Ruth Gillett | Optometrist | 3029 S Colt Plaza Dr Ste 1, West Valley City, UT 84128-4015 | 2020-05-27 |
| 1548798036 | Lan Heng | Optometrist | 3124 S 3450 W, West Valley City, UT 84119-2522 | 2017-05-26 |
| 1831387125 | Michael F. Pingree Md PC | Optometrist | 3465 S 4155 W Ste 4, West Valley City, UT 84120-2079 | 2007-10-11 |
| 1861541419 | Michael D Brown | Optometrist | 2727 W 3500 S, West Valley City, UT 84119-3106 | 2007-01-10 |
| 1417028952 | Terry Milo Hansen | Optometrist | 2828 West 4700 South, Suite D, West Valley City, UT 84118 | 2006-11-13 |
| 1366554461 | Roger F Young | Optometrist | 3465 Pioneer Pkwy Ste 5, West Valley City, UT 84120-2079 | 2006-08-31 |
| 1023071214 | Christopher Mark Troxel | Optometrist | 3620 W 3500 S, West Valley City, UT 84120-3302 | 2006-04-09 |
| 1093130551 | Jeannette Pontiero Meandzija | Optometrist | 2727 W 3500 S, West Valley City, UT 84119-3106 | 2014-02-20 |
| 1164663712 | Dr. Shawn D Beagley Optometrist Pllc | Optometrist | 3747 S 2700 W, West Valley City, UT 84119-3721 | 2009-03-11 |
| 1801051974 | University of Utah Hospitals and Clinics | Optometrist | 3730 W 4700 S, West Valley City, UT 84118-3457 | 2008-07-28 |
| Find all providers in WEST VALLEY CITY | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
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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.