NPIMap

Organization Active NPI

Woodall Eye Care, P.C.

  • Optometrist
  • Avon, IN
National Provider Identifier
1023423787
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003788A Issued in IN
Legal business name
WOODALL EYE CARE, P.C.
Practice address
479 Creekwood Dr
Unit #158
Avon, IN 46123-9276
Phone
(812) 797-1570
NPI assigned
Jun 20, 2014
Last updated
Jun 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leslie Suzanne Woodall, O.D.
Title
President
Phone
(812) 797-1570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003788A IN Primary

Addresses

Primary practice location

479 Creekwood Dr
Unit #158
Avon, IN 46123-9276

Mailing address

479 Creekwood Dr
Unit #158
Avon, IN 46123-9276
Phone (812) 797-1570

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1023423787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 CREEKWOOD DR",
            "address_2": "UNIT #158",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239276",
            "telephone_number": "812-797-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 CREEKWOOD DR",
            "address_2": "UNIT #158",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239276",
            "telephone_number": "812-797-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODALL EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-797-1570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003788A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.