Organization Active NPI

Woodard Eye Care OD PLLC

  • Optometrist
  • Graham, NC
National Provider Identifier
1205005105
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1236 Issued in NC
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, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20190114001425 NC Part B Supplier - Clinic/Group Practice 3678819513 Receives reassigned benefits from 3 practitioners
Practice locations: Graham, NC

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.

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.

Verify at the official NPI Registry.