NPIMap

Individual provider Active NPI

Claron Douglas Alldredge, MD

  • Ophthalmology Physician
  • Ogden, UT
National Provider Identifier
1841200284
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5216808-1205 Issued in UT
Practice address
4360 Washington Blvd
Ogden, UT 84403-1866
Phone
(801) 476-0494
Fax
(801) 476-0067
NPI assigned
Aug 8, 2006
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5216808-1205 UT Primary

Addresses

Primary practice location

4360 Washington Blvd
Ogden, UT 84403-1866

Mailing address

4360 Washington Blvd
Odgen, UT 84403
Phone (801) 476-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000528 UT Practitioner - Ophthalmology 9638173545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Ogden Eye Center LLCGroup PAC ID 2860474962, 19 clinicians

Practice addresses (Care Compare)

4360 Washington Blvd
Utah Eye Centers
Ogden, UT 84403-1866
Phone (801) 476-0494

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5216808-1205UTMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 15, 2019 Accepting new patients
Ihc Health Services Inc CurrentSince Oct 15, 2019 Accepting new patients
Mt Ogden Eye Center LLC Ophthalmology CurrentSince Nov 23, 2016 Accepting new patients
Mt Ogden Eye Center LLC Ophthalmology Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Retina Consultants of Nevada LLP Ophthalmology Past Accepting new patients
Retinapro, PC Ophthalmology PastSince Jan 1, 2009 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology PastSince Nov 1, 1995 Accepting new patients
Legacy Medical PC Ophthalmology Past Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients
R Jeffrey Parker MD a Professional Corporation Ophthalmology Past Accepting new patients
John a. Vollmer, MD, PC Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Oculus Surgery Center, LLC PastSince Oct 13, 2024 Accepting new patients

Locations

214 W 1500 S
Ste 300
Bountiful, UT 84010
Phone (801) 261-0726

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

1025 E 3300 S
Ste B
Millcreek, UT 84106
Phone (801) 281-2020

4360 Washington Blvd
Ogden, UT 84403
Phone (801) 476-0494

440 D St
Ste 210
Salt Lake Cty, UT 84103
Phone (801) 408-3705

Interoperability endpoints

  • Direct secure messaging: calldredge@utaheyecenters.intellechartdirect.net
  • Direct secure messaging: dralldredge@utaheye.imwdirect.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1841200284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "ODGEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-476-0494",
            "fax_number": "801-476-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 WASHINGTON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031866",
            "telephone_number": "801-476-0494",
            "fax_number": "801-476-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLDREDGE",
        "first_name": "CLARON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "5216808-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.