Individual provider Active NPI

Dale A Woodfield, O.D.

  • Optometrist
  • South Ogden, UT
National Provider Identifier
1386612919
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
111847-9934 Issued in UT
Practice address
5738 S 1475 E Ste 100
South Ogden, UT 84403-4860
Phone
(801) 621-0554
Fax
(801) 392-6229
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 111847-9934 UT Primary

Addresses

Primary practice location

5738 S 1475 E Ste 100
South Ogden, UT 84403-4860

Mailing address

492 W 3975 N
Pleasant View, UT 84414-1400
Phone (801) 621-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111847-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ion Vision PLLC Optometrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1386612919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 W 3975 N",
            "city": "PLEASANT VIEW",
            "state": "UT",
            "postal_code": "844141400",
            "telephone_number": "801-621-0554",
            "fax_number": "801-392-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 S 1475 E STE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844034860",
            "telephone_number": "801-621-0554",
            "fax_number": "801-392-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFIELD",
        "first_name": "DALE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "111847-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.