Eric Weston Woodward, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3257 Issued in MT

Practice address

739 Bryden Ave Ste a
Lewiston, ID 83501-4909

Phone

(208) 743-5830

NPI assigned

Jun 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• West Dawn LLC

  dba Riverbend Eye Care

  • Optometrist
  • Paul, ID
  • NPI 1790529030
  Medicare reassignment NPD Authorized official
• Oregon Trail Eye Care, PC

  • Optometrist
  • Soda Springs, ID
  • NPI 1093982217
  Medicare reassignment NPD
• Wilson Polito PLLC

  dba Alpine Vision Center

  • Optometrist
  • Lewiston, ID
  • NPI 1710276324
  Medicare reassignment NPD
• Stephen Brockbank O.D. L.L.C.

  dba Alpine Vision Center

  • Optometrist
  • Lewiston, ID
  • NPI 1750511184
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1114410305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 BRYDEN AVE STE A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014909",
            "telephone_number": "208-743-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BRYDEN AVE STE A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014909",
            "telephone_number": "208-743-5830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Dewey Blvd",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597013413",
            "country_code": "US",
            "telephone_number": "406-494-2222 x102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1844 W Pullman Rd",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838434014",
            "country_code": "US",
            "telephone_number": "208-883-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "ERIC",
        "middle_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100465",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W. Wood, AU.D.
• Eric S Wood, PHARMD
• Roger Wesley Wood
• Sharon J Wood, RPH
• Nina J Woods, M.ED.,ED.,S.
• Austin Woolard, NP
• Wound Healing Care Specialists Id, PC
• Christina Wyatt, LMSW
• Diana Lynne Yandell, MD
• Yes Today Dentistry Lewiston PLLC

• Optometrist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.