Russell Purdy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

113333-9934 Issued in UT

Practice address

1076 Layton Hills Mall Ste 2090
Layton, UT 84041-2104

Phone

(801) 546-0255

Fax

(801) 546-0260

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles (12 of 13)

Locations

Networks

• UT PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Standard Optical Co

  • Optometrist
  • Orem, UT
  • NPI 1093816548
  Medicare reassignment NPD
• Standard Optical Co

  • Optometrist
  • Murray, UT
  • NPI 1508967977
  NPD
• Standard Optical Company

  • Optometrist
  • West Point, UT
  • NPI 1659958841
  NPD
• Standard Optical Co

  • Optometrist
  • Holladay, UT
  • NPI 1043311582
  NPD (past)
• Standard Optical Co

  • Optometrist
  • South Jordan, UT
  • NPI 1114377165
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Roy, UT
  • NPI 1396832655
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Tooele, UT
  • NPI 1477654846
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Ogden, UT
  • NPI 1538260021
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Taylorsville, UT
  • NPI 1689775041
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Layton, UT
  • NPI 1760583298
  NPD (past)
• Standard Optical Co

  • Optometrist
  • Salt Lake City, UT
  • NPI 1962599290
  NPD (past)
• Wasatch Eye and Optical PC

  • Optometrist
  • Kaysville, UT
  • NPI 1700074184
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1295823029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PARKWAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841192001",
            "telephone_number": "801-886-2020",
            "fax_number": "801-954-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 LAYTON HILLS MALL STE 2090",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412104",
            "telephone_number": "801-546-0255",
            "fax_number": "801-546-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "RUSSELL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113333-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999000797009",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA",
            "identifier": "241764",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Pugmire
• Aubree Jane Pulley
• Katharina Pulli
• Pulmonary Health Services
• Joseph S Puntasecca, LCSW, LMSW
• Cristina Putnam
• Carrie Quartuccio
• Nathan Mickey Quigley
• R. Eric Sanders D.C.,P.C.
• Donna Lynn Raby

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.