Claron Douglas Alldredge (NPI# 1841200284, PAC ID# 9638173545) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1841200284 |
PAC ID by PECOS | 9638173545 |
Professional Enrollment ID | I20060907000528 |
Full Name | Claron Douglas Alldredge |
Organization Legal Name | MT OGDEN EYE CENTER LLC |
Address |
214 W 1500 Suite 300 Bountiful UT 84010-7408 |
Phone Number | 8014760494 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 2860474962 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460041 | DAVIS HOSPITAL AND MEDICAL CENTER |
460006 | LDS HOSPITAL |
Address | Phone | Organization |
---|---|---|
214 W 1500, Suite 300, Bountiful, UT 84010-7408 | 8014760494 | MT OGDEN EYE CENTER LLC |
4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 | 8014760494 | MT OGDEN EYE CENTER LLC |
Organization Legal Name | MT OGDEN EYE CENTER LLC |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peter Garrett Coombs | Ophthalmology | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
Rachel S Benator | Ophthalmology | Mt Ogden Eye Center LLC | 1025 E 3300, Salt Lake City, UT 84106-4389 |
Michael B Wilcox | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Scott O Sykes | Ophthalmology | Mt Ogden Eye Center LLC | 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 |
Michael L Bullard | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Mark G Ballif | Ophthalmology | Mt Ogden Eye Center LLC | 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 |
Jed T Poll | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Patricia Ann Beaty | Optometry | Mt Ogden Eye Center LLC | 175 N 400, Suite C10, Orem, UT 84057-1909 |
Robert William Wing | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Devin B Farr | Optometry | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Street Address |
214 W 1500 SUITE 300 |
City | BOUNTIFUL |
State | UT |
Zip | 84010-7408 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael B Wilcox | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Michael L Bullard | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Jed T Poll | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Robert William Wing | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Devin B Farr | Optometry | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Court R Wilkins | Optometry | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Bradley J Anderson | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Brock C Hansen | Ophthalmology | Mt Ogden Eye Center LLC | 214 W 1500, Suite 300, Bountiful, UT 84010-7408 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Samuel Wilson | Family Medicine | 1217 E 1650, Bountiful, UT 84010-1586 | |
Nancy N Pantziris | Psychiatry | 535 E 500, Suite 6, Bountiful, UT 84010-3876 | |
Ronald K Honey | Occupational Therapy | 2280 S 750, Bountiful, UT 84010-4216 | |
Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Amanda A Ward | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Mark E Christian | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Jason Clark Gubler | Physical Therapy | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
David Cope | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Jennifer Crafton | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
Sandra M Robinson | Nurse Practitioner | Ogden Clinic PC | 185 S 400, Bountiful, UT 84010-4801 |
Find all physicians in zip 84010 |
City | BOUNTIFUL |
Zip Code | 84010 |
Specialty | OPHTHALMOLOGY |
City + Specialty | BOUNTIFUL + OPHTHALMOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.