Active NPI
Woodard Eye Care OD PLLC
- Optometrist
- Graham, NC
National Provider Identifier
1205005105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1236
- Legal business name
- WOODARD EYE CARE OD PLLC
- Practice address
- Woodard Eye Care
304 S Main St
Graham, NC 27253 - Phone
- (336) 227-4448
- Fax
- (336) 226-3926
- NPI assigned
- Feb 25, 2008
- Organization subpart
- Yes
- Parent organization
- WOODDARD EYE CARE. OD, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Reid Woodard, O.D.
- Title
- President/Owner/Manager
- Phone
- (336) 227-4448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1236 | NC | Primary |
Addresses
Primary practice location
Woodard Eye Care
304 S Main St
Graham, NC 27253
Mailing address
Woodard Eye Care. OD, PLLC
PO Box 1090
Graham, NC 27253
Phone (336) 227-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Woodard Eye Care OD PLLC
Locations
304 S Main St
Graham, NC 27253
Phone (336) 227-4448
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Graham, NC
- NPI 1841985595
-
- Optometrist
- Graham, NC
- NPI 1720168289
-
- Optometrist
- Graham, NC
- NPI 1558816124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549584000000",
"number": "1205005105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WOODARD EYE CARE. OD, PLLC",
"address_2": "PO BOX 1090",
"city": "GRAHAM",
"state": "NC",
"postal_code": "27253",
"telephone_number": "336-227-4448",
"fax_number": "336-226-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WOODARD EYE CARE",
"address_2": "304 S MAIN ST",
"city": "GRAHAM",
"state": "NC",
"postal_code": "27253",
"telephone_number": "336-227-4448",
"fax_number": "336-226-3926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODARD EYE CARE OD PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WOODDARD EYE CARE. OD, PLLC",
"enumeration_date": "2008-02-25",
"last_updated": "2019-02-08",
"status": "A",
"authorized_official_last_name": "WOODARD",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "REID",
"authorized_official_title_or_position": "PRESIDENT/OWNER/MANAGER",
"authorized_official_telephone_number": "336-227-4448",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "1236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Graham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.