Individual provider Active NPI

Todd Albrecht, O.D.

  • Optometrist
  • St George, UT
National Provider Identifier
1831579663
Registry record updated Jun 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9434777-9934 Issued in UT
Practice address
10 Diagonal St Ste 101
St George, UT 84770-2811
Phone
(435) 673-3201
NPI assigned
Jun 7, 2015
Last updated
Jun 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9434777-9934 UT Primary

Addresses

Primary practice location

10 Diagonal St Ste 101
St George, UT 84770-2811

Mailing address

10 Diagonal St Ste 101
St George, UT 84770-2811
Phone (435) 673-3201

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150714002851 UT Practitioner - Optometry 5698088029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Utah Eye Care IncGroup PAC ID 1254367816, 4 clinicians

Practice addresses (Care Compare)

10 Diagonal St
Suite 101
Saint George, UT 84770-2811
Phone (435) 673-3201

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9434777-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Utah Eye Care Inc Optometrist CurrentSince Jun 19, 2015 Accepting new patients
Southern Utah Vision Care PLLC Optometrist PastSince Mar 31, 2018 Accepting new patients

Locations

20 S 850 W
Ste 3
Hurricane, UT 84737
Phone (435) 635-7766

10 Diagonal St
Ste 101
St George, UT 84770
Phone (435) 673-3201

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433635200000",
    "number": "1831579663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DIAGONAL ST STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702811",
            "telephone_number": "435-673-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DIAGONAL ST STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702811",
            "telephone_number": "435-673-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "TODD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-07",
        "last_updated": "2015-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9434777-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.