DR. JEDEDIAH BEAL LISTER (NPI# 1831442656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831442656 |
| Entity Type | Individual |
| Full Name | DR. JEDEDIAH BEAL LISTER |
| Credential | O.D. |
| Practice Address |
15 S River Rd Ste 150 St George UT 84790-2106 |
| Mailing Address |
3450 E Main St Farmington NM 87402-5327 |
| Practice Telephone | 4354652230 |
| Mailing Telephone | 5053257070 |
| Mailing Fax Number | 5053255812 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2020-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 678 | NM | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NM STATE LICENSE | 678 | 01 |
| Street Address |
15 S RIVER RD STE 150 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| 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 |
|---|---|---|---|---|
| 1669995445 | Smith Optometry LLC | Optometrist | 599 S Mall Dr Spc K-1, St George, UT 84790-1258 | 2017-07-24 |
| 1831579663 | Todd Albrecht | Optometrist | 10 Diagonal St Ste 101, St George, UT 84770-2811 | 2015-06-07 |
| 1427452325 | Jenna O'brien | Optometrist | 1490 E Foremaster Dr Ste 120, St George, UT 84790-4493 | 2014-10-21 |
| 1770887762 | James Michael Leigh | Optometrist | 54 E 300 S, Apt. 8, St George, UT 84770-3666 | 2011-01-05 |
| 1528297900 | Adam Jeffrey Lofgran | Optometrist | 749 S River Rd, St George, UT 84790 | 2009-07-07 |
| 1457498305 | Paul R Gooch | Optometrist | 965 East 700 South, Suite #100, St George, UT 84790-4084 | 2007-01-31 |
| 1780785238 | Standard Optical Co | Optometrist | 250 Red Cliffs Dr, St George, UT 84790-8167 | 2006-09-26 |
| 1679686547 | Ryan Earl Robison | Optometrist | 965 E 700 S, Suite #100, St George, UT 84790-4082 | 2006-08-16 |
| 1720007313 | Michael Scott Croft | Optometrist | 301 E Tabernacle St, St George, UT 84770-7108 | 2006-07-18 |
| 1780620575 | William Eldridge Behling Sr. | Optometrist | 105 W George St, St George, SC 29477-2408 | 2006-06-21 |
| Find all providers in ST GEORGE | ||||
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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.