Provider Demographics
NPI:1487641213
Name:ROCKWOOD, ANDREW PERRY (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PERRY
Last Name:ROCKWOOD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:315 W WEBER HIGH DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:UT
Mailing Address - Zip Code:84414-1456
Mailing Address - Country:US
Mailing Address - Phone:801-694-7243
Mailing Address - Fax:
Practice Address - Street 1:348 E 2600 N
Practice Address - Street 2:
Practice Address - City:NORTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84414-2278
Practice Address - Country:US
Practice Address - Phone:801-701-7836
Practice Address - Fax:888-843-0491
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2016-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT59500478908152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist