Paul C Bruderer O D P C
NPI 1427241843ActiveOrganization· Optometrist· West Valley City, UT
Optometrist in West Valley City, Utah, registered in NPPES in August 2007. The authorized official on file is Paul Christian Bruderer, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427241843 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 20, 2007 |
| Last updated in NPPES | Feb 4, 2022 |
| Certified by provider | Feb 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4942085-9934 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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