Todd Albrecht OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

9434777-9934 Issued in UT

Legal business name

TODD ALBRECHT OD LLC

Practice address

10 E 1300 S
Richfield, UT 84701-3122

Phone

(435) 893-8478

NPI assigned

Aug 31, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Todd Albrecht, O.D.

Title

Owner

Phone

(435) 632-7794

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1154877009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 E 3685 S",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 1300 S",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847013122",
            "telephone_number": "435-893-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD ALBRECHT OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "ALBRECHT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-632-7794",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9434777-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U000092671",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831579663",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Richfield, UT
• Providers in Richfield, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.