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

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.

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 (8 clinicians)

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 (individual)
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
St George Eye Center Optometrist Current
since Jan 1, 2025
Accepting new patients
Derry Family Eyecare LLC Optometrist Past
since Jan 15, 2023
Accepting new patients
Jason R Egbert OD PC Optometrist Past
since Nov 1, 2017
Accepting new patients
Tuttle Dermatology PC Past
since Jan 1, 2025
Accepting new patients
Richardson Eye Clinic, PLLC Optometrist Past
since Sep 1, 2016
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

  • Direct secure messaging: brichardson@stgec.direct.eyemdemr.com
  • FHIR API: https://app.meldrx.com/api/fhir/90yt21gf

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2025.

{
    "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

All providers in St George, UT · Optometrist in Utah

Sources for this page

Verify at the official NPI Registry.