Eyes of Woodland Optometry, Apc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

3938320001 Issued in CA

Legal business name

EYES OF WOODLAND OPTOMETRY, APC

Practice address

421 Pioneer Ave Ste B
Woodland, CA 95776-4948

Phone

(530) 661-0300

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amy Michelle Brown, ODNPI 1265508576

Title

Owner

Phone

(530) 661-0300

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Michelle Brown, OD

  • Optometrist
  • Woodland, CA
  • NPI 1265508576
  Medicare reassignment NPD Authorized official
• Ernest Chang, OD

  • Optometrist
  • Woodland, CA
  • NPI 1235786898
  Medicare reassignment NPD
• William L Choi, OD

  • Optometrist
  • San Jose, CA
  • NPI 1356426860
  Medicare reassignment NPD
• Kali Javon Leonard, OD

  • Optometrist
  • Woodland, CA
  • NPI 1114099157
  Medicare reassignment NPD
• Joseph Huang, O.D.

  • Optometrist
  • Woodland, CA
  • NPI 1386673895
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1043349822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PIONEER AVE STE B",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764948",
            "telephone_number": "530-661-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PIONEER AVE STE B",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957764948",
            "telephone_number": "530-661-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OF WOODLAND OPTOMETRY, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-661-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11430T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7260T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "128870T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "123040T",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "3938320001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD 004510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Matthew M Estaras, DPT
• Hugo Estevez
• Gabriel Joseph Estrada-Vazquez
• Ian Evans, LMFT
• Evvy Shan
• Shazia Faiz, M.D
• Troy G Fajerson, PA-C
• Jennifer Brooke Fallon, BSW
• Katherine Fan
• Joan Elizabeth Fanucchi, B.S.N., R.N., P.H.N.

• Eyewear Supplier in Woodland, CA
• Providers in Woodland, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.