Robert P Wooldridge (NPI# 1013962828, PAC ID# 7719998111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013962828 |
| PAC ID by PECOS | 7719998111 |
| Professional Enrollment ID | I20081015000505 |
| Full Name | Robert P Wooldridge |
| Address |
201 E 5900 Suite 201 Salt Lake City UT 84107-5431 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1982 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 E 5900, Suite 201, Salt Lake City, UT 84107-5431 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
201 E 5900 SUITE 201 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84107-5431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Baker Howse | Optometry | Eye Care Group of Utah Lc | 201 E 5900, Suite 201, Murray, UT 84107-5431 |
| Alan E Jackson | Ophthalmology | Cottonwood Eye and Laser Center | 201 E 5900, Suite 101, Murray, UT 84107-5428 |
| Mike K Mitchell | Optometry | Cottonwood Eye and Laser Center | 201 E 5900, Suite 101, Murray, UT 84107-5428 |
| Steven T Jackson | Ophthalmology | Cottonwood Eye and Laser Center | 201 E 5900, Suite 101, Murray, UT 84107-5428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy B Carter | Optometry | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Darcy H Wolsey | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Zachary J Zavodni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Cionni | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Kristin O Chapman | Ophthalmology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Robert J Matejka | Anesthesiology | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Bruce F Gladwell | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Laura J Springhetti | Certified Registered Nurse Anesthetist (crna) | Eye Institute of Utah Inc | 755 E 3900, Salt Lake City, UT 84107-2105 |
| Sally J Brush | Nurse Practitioner | 888 E 3900, Salt Lake City, UT 84107-2151 | |
| Alireza Falahati-nini | Endocrinology | Utah Endocrinology Associates Pllc | 470 E 3900, Suite 200, Salt Lake City, UT 84107-2332 |
| Find all physicians in zip 84107 | |||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
| Specialty | OPTOMETRY |
| City + Specialty | SALT LAKE CITY + OPTOMETRY |
Please comment or provide details below to improve the information on Robert P Wooldridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.