Brett Richardson, O.D.
Individual provider Active NPI Optometrist · St George, UT
NPI 1720358641 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1720358641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 10370059-9934 (UT)
- Practice address
- 617 E Riverside Dr Ste 101
St George, UT 84790-8720 - Phone
- (435) 628-4507
- NPI assigned
- Jan 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St George Eye Center LLC
Practice addresses (Care Compare)
31 W Brookhaven Dr
Washington, UT 84780-5004
340 Falcon Ridge Pkwy
Suite 400
Mesquite, NV 89027-8851
Phone (435) 628-4507
617 E Riverside Dr
Suite 101
St George, UT 84790-8720
Phone (435) 628-4507
625 W Telegraph St
Washington, UT 84780-1541
Phone (435) 986-3770
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.74 of 100
- Quality
- 69.48
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180125002883 | NV | Practitioner - Optometry | 1951557172 | Reassigns benefits to 1 organization |
| I20181026001326 | UT | Practitioner - Optometry | 1951557172 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St George Eye Center | Optometrist | Current |
Accepting new patients |
| Derry Family Eyecare LLC | Optometrist | Past |
Accepting new patients |
| Jason R Egbert OD PC | Optometrist | Past |
Accepting new patients |
| Tuttle Dermatology PC | Past |
Accepting new patients | |
| Richardson Eye Clinic, PLLC | Optometrist | Past |
Accepting new patients |
Locations
340 Falcon Ridge Pkwy
Ste 400
Mesquite, NV 89027
Phone (435) 628-4507
617 E Riverside Dr
Ste 101
St George, UT 84790
Phone (435) 218-7779
625 W Telegraph St
Washington, UT 84780
Phone (435) 628-5424
Interoperability endpoints
- brichardson@stgec.direct.eyemdemr.com
- https://app.meldrx.com/api/fhir/90yt21gf
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 918 | NV | |
| Optometrist | 152W00000X | 10370059-9934 | UT | Yes |
Addresses
Primary practice location
617 E Riverside Dr Ste 101
St George, UT 84790-8720
Mailing address
31 W Brookhaven Dr
Washington, UT 84780-5004
Phone (360) 991-9548
Other practice location 1
625 W Telegraph St
Washington, UT 84780-1541
Phone (435) 986-3770
NPI Registry JSON
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1720358641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 W BROOKHAVEN DR",
"city": "WASHINGTON",
"state": "UT",
"postal_code": "847805004",
"telephone_number": "360-991-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 E RIVERSIDE DR STE 101",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847908720",
"telephone_number": "435-628-4507"
}
],
"practiceLocations": [
{
"address_1": "625 W Telegraph St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "UT",
"postal_code": "847801541",
"country_code": "US",
"telephone_number": "435-986-3770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARDSON",
"first_name": "BRETT",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-10",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "918",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "10370059-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.