Organization Active NPI

William D. Woods, OD, PC

  • Optometrist
  • Dallas, GA
National Provider Identifier
1124284773
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
871GA Issued in GA
Legal business name
WILLIAM D. WOODS, OD, PC
Practice address
1498 Merchants Dr
Dallas, GA 30132-5064
Phone
(770) 445-2715
Fax
(770) 445-5805
NPI assigned
Aug 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Janis Woods
Title
Office Manager/Wife
Phone
(770) 445-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 871GA GA Primary

Addresses

Primary practice location

1498 Merchants Dr
Dallas, GA 30132-5064

Mailing address

1498 Merchants Dr
Dallas, GA 30132-5064
Phone (770) 445-2715

Other identifiers 3

IdentifierTypeStateIssuer
0147448OtherGABLUE CROSS BLUE SHIELD
410020624OtherGARR US MEDICARE/PALMETTO
0137880001OtherGAPALMETTO DMERC

National Provider Directory

National Provider Directory

Locations

1498 Merchants Dr
Dallas, GA 30132
Phone (770) 445-2715

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1124284773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 MERCHANTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325064",
            "telephone_number": "770-445-2715",
            "fax_number": "770-445-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 MERCHANTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325064",
            "telephone_number": "770-445-2715",
            "fax_number": "770-445-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. WOODS, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "OFFICE MANAGER/WIFE",
        "authorized_official_telephone_number": "770-445-2715"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "871GA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0147448",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR US MEDICARE/PALMETTO",
            "identifier": "410020624",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DMERC",
            "identifier": "0137880001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.