Active NPI
Constance L Woldorff, OD
- Optometrist
- Durham, NC
National Provider Identifier
1205819554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1823
- Practice address
- 813 Broad St
Durham, NC 27705-4137 - Phone
- (919) 381-5365
- Fax
- (919) 381-5366
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1823 | NC | Primary |
Addresses
Primary practice location
813 Broad St
Durham, NC 27705-4137
Mailing address
813 Broad St
Durham, NC 27705-4137
Phone (919) 381-5365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC5878B122 | Other | NC | MEDICARE PTAN |
| 89093K1 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
813 Broad St
Durham, NC 27705-4137
Phone (919) 381-5365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woldorff Family Optometry PA | Optometrist | Current | Accepting new patients |
| Optometric Eye Care Center of Durham PA | Optometrist | Past | Accepting new patients |
Locations
813 Broad St
Durham, NC 27705
Phone (919) 381-5365
Organizations & group practices 2
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.
-
- Optometrist
- Durham, NC
- NPI 1295037851
-
- Optometrist
- Durham, NC
- NPI 1205819547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1205819554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054137",
"telephone_number": "919-381-5365",
"fax_number": "919-381-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054137",
"telephone_number": "919-381-5365",
"fax_number": "919-381-5366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLDORFF",
"first_name": "CONSTANCE",
"middle_name": "L",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1823",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NC5878B122",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89093K1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.