Organization Active NPI

Woods Family Eyecare

  • Optometrist
  • Richmond, VA
National Provider Identifier
1134561533
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002123 Issued in VA
Legal business name
WOODS FAMILY EYECARE
Practice address
11591 W Broad St
Suite C
Richmond, VA 23233-1186
Phone
(804) 364-0823
NPI assigned
Jul 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Lakitta Monchelle Woods-Dwelle, OD
Title
Optometrist
Phone
(804) 364-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618002123 VA Primary

Addresses

Primary practice location

11591 W Broad St
Suite C
Richmond, VA 23233-1186

Mailing address

11591 W Broad St
Suite C
Richmond, VA 23233-1186
Phone (804) 364-0823

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1134561533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11591 W BROAD ST",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331186",
            "telephone_number": "804-364-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11591 W BROAD ST",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331186",
            "telephone_number": "804-364-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "WOODS-DWELLE",
        "authorized_official_first_name": "LAKITTA",
        "authorized_official_middle_name": "MONCHELLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "804-364-0823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.