Paul C Bruderer O D P C
NPI 1427241843 · Optometrist · West Valley City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul C Bruderer O D P C is a Optometrist organization in West Valley City, UT (NPI 1427241843).
Provider details
- NPI number
- 1427241843
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Paul Bruderer, Owner(801) 969-9999
- License
- 4942085-9934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- West Valley Vision Source
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Frequently asked questions
- What is Paul C Bruderer O D P C's NPI number?
- Paul C Bruderer O D P C's National Provider Identifier (NPI) is 1427241843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul C Bruderer O D P C?
- Paul C Bruderer O D P C is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Paul C Bruderer O D P C located?
- Paul C Bruderer O D P C's practice location on file with NPPES is 2782 S 5600 W Ste 101, West Valley City, UT 84120-5592.
- What is Paul C Bruderer O D P C's phone number?
- The practice phone number listed in the NPPES registry for Paul C Bruderer O D P C is (801) 969-9999.
- Does Paul C Bruderer O D P C accept Medicare?
- Paul C Bruderer O D P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Paul C Bruderer O D P C?
- The authorized official listed on Paul C Bruderer O D P C's NPPES record is Paul Bruderer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul C Bruderer O D P C's NPI active?
- Yes — Paul C Bruderer O D P C's NPI (1427241843) is active in the NPPES registry as of the last update on 2022-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.