Individual provider Active NPI

Karley Woodrich, O.D.

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1053799825
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8673TG Issued in TX
Practice address
4015 84TH St
Lubbock, TX 79423-1913
Phone
(806) 798-2020
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8673TG TX Primary

Addresses

Primary practice location

4015 84TH St
Lubbock, TX 79423-1913

Mailing address

4015 84TH St
Lubbock, TX 79423-1913
Phone (806) 798-2020

Other practice location 1

12122 Salisbury Blvd
Lubbock, TX 79424-5040
Phone (806) 793-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000529 TX Practitioner - Optometry 2567760838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentz and Woodrich PLLCGroup PAC ID 5991131955, 5 clinicians

Practice addresses (Care Compare)

4015 84TH St
Lubbock, TX 79423-1913
Phone (806) 798-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8673TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wentz and Woodrich PLLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

4015 84th St
Lubbock, TX 79423
Phone (806) 798-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1053799825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 84TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231913",
            "telephone_number": "806-798-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 84TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231913",
            "telephone_number": "806-798-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12122 Salisbury Blvd",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794245040",
            "country_code": "US",
            "telephone_number": "806-793-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRICH",
        "first_name": "KARLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8673TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.