Organization Active NPI

Dr. Dale a. Woodfield and Associates, LLC

  • Optometrist
  • Ogden, UT
National Provider Identifier
1659384204
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
111847-9934 Issued in UT
Legal business name
DR. DALE A. WOODFIELD AND ASSOCIATES, LLC
Practice address
3651 Wall Ave
1226
Ogden, UT 84405-7110
Phone
(801) 621-0554
Fax
(801) 392-1291
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Dale A Woodfield, O.D.
Title
Managing Member
Phone
(801) 621-0554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 111847-9934 UT Primary

Addresses

Primary practice location

3651 Wall Ave
1226
Ogden, UT 84405-7110

Mailing address

492 W 3975 N
Pleasant View, UT 84414-1400
Phone (801) 689-3550

Other identifiers 1

IdentifierTypeStateIssuer
DD3972OtherUTGROUP RAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1659384204",
    "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": "801-689-3550",
            "fax_number": "801-392-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WALL AVE",
            "address_2": "1226",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844057110",
            "telephone_number": "801-621-0554",
            "fax_number": "801-392-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DALE A. WOODFIELD AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "WOODFIELD",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-621-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "111847-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "DD3972",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.