Robert Everett Woodruff II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3445T708 Issued in OH

Practice address

8051 Vesta Ave
Ste 2
Northfield, OH 44067-2044

Phone

(330) 468-0585

Fax

(330) 468-1083

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

83.55 of 100Reported as group

Quality

81.19

Promoting interoperability

83

Improvement activities

40

Cost

78.15

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rwoodruff@cec.intellechartdirect.net

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.

• Eye Care Centers Management Inc

  • Ophthalmology Physician
  • Morrow, GA
  • NPI 1699888131

  Optometrist

  NPD

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1194729533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207170 STE 2",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207173",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 VESTA AVE",
            "address_2": "STE 2",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672044",
            "telephone_number": "330-468-0585",
            "fax_number": "330-468-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ROBERT",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3445T708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ID",
            "identifier": "000000138931",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED ID NUMBER",
            "identifier": "341793205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC/ADMINISTAR",
            "identifier": "061090001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403594",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE NO.",
            "identifier": "580002428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Craig White, DDS MSD
• Matthew Widlits, LMT
• Rodrick Donte Wiggins Jr., DMD
• William R. Davidson, D.D.S.& Assoc., Inc.
• Alicia Wolf, NP
• Christine Denise Woods
• Valerie Wynn
• Samantha Zanin, COTA/L
• Philip Joseph Znidarsic, DDS

• Optometrist in Northfield, OH
• Providers in Northfield, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.