Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Paul Christian Bruderer, OD

Individual provider Optometrist · NPI 1316956576

Dr. Paul Christian Bruderer, OD is an Optometry in West Valley City, Utah. Graduated from International American University at Puerto Rico - School of Optometry in 2001, 25 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
25
Trained at
International American University at Puerto Rico - School of Optometry
Licensed in
UT
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2782 S 5600 W Ste 101
West Valley City, UT 84120-5592
Phone: (801) 969-9999
Fax: (801) 746-1007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4942085-9934 (UT)

Record details

NPI number1316956576
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Graduated 2001 (25 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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