Organization
TODD ALBRECHT OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALBRECHT O.D. (OWNER)
(435) 632-7794
Entity
Organization
Contact information
Practice address
10 E 1300 S, RICHFIELD, UT 84701-3122
(435) 893-8478
Mailing address
923 E 3685 S, WASHINGTON, UT 84780-1240
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9434777-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831579663
—
UT
01
—
U000092671
MEDICARE PTAN
UT
Enumeration date
08/31/2016
Last updated
11/30/2016
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