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ROBERT P WOOLDRIDGE OD PC
NPI 1053565788
Optometrist in Murray, UT

Active since November 07, 2008
201 E 5900 S STE 201, MURRAY, UT 84107(801) 268-6408(801) 262-9216 Get Directions Write a Review

NPPES record last updated: November 7, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert P Wooldridge Od Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT P WOOLDRIDGE OD PC (NPI 1053565788) is a healthcare organization registered as an optometrist in Murray, Utah and active in the NPI registry since November 2008. The organization lists Robert P Wooldridge, Director, as its authorized official.

NPPES Registry Identity

NPI1053565788
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameROBERT P WOOLDRIDGE OD PC
Location Address201 E 5900 S STE 201Murray, UT 84107-5431
Mailing Address201 E 5900 S Ste 201Murray, UT 84107-5431 · (801) 268-6408 · Fax (801) 262-9216
Phone(801) 268-6408
Fax(801) 262-9216
Organization SubpartNo
Authorized OfficialRobert P WooldridgeDirector · (801) 268-6408
Enumeration DateNovember 7, 2008
✔ NPI 1053565788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 1126319934
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
201 E 5900 S STE 201, Murray, UT 84107
Open in Google Maps ↗

Other Identifiers 2

Medicaid419840939008UT
Medicare UPIN000009911UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert P Wooldridge Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20081106000566Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert P Wooldridge Od PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Wooldridge, O.D. PC
Optometry
NPI 1013962828
201 E 5900 S #201
Murray, UT 84107
(801) 268-6408
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert P Wooldridge Od PC's NPI number?

The NPI number for Robert P Wooldridge Od PC is 1053565788. It was assigned to this organization in the NPPES registry on November 7, 2008.

Where is Robert P Wooldridge Od PC located?

Robert P Wooldridge Od PC is located at 201 E 5900 S Ste 201, Murray, UT 84107. The listed phone number is (801) 268-6408.

What is Robert P Wooldridge Od PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Robert P Wooldridge Od PC enrolled in Medicare?

Yes. Robert P Wooldridge Od PC is registered in the Medicare PECOS enrollment system.

When is Robert P Wooldridge Od PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Robert P Wooldridge Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Robert P Wooldridge Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert P Wooldridge Od PC was last updated on November 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.