Organization Active NPI

Steven C Woodard, OD, PC

  • Optometrist
  • Socorro, NM
National Provider Identifier
1245533835
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2252 Issued in NM
Legal business name
STEVEN C WOODARD, OD, PC
Practice address
106 Manzanares Ave E
Socorro, NM 87801-4213
Phone
(575) 835-2020
NPI assigned
Dec 21, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Dr. Steven C Woodard, ODNPI 1649263815
Title
Owner
Phone
(575) 835-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2252 NM Primary

Addresses

Primary practice location

106 Manzanares Ave E
Socorro, NM 87801-4213

Mailing address

106 Manzanares Ave E
Socorro, NM 87801-4213
Phone (575) 835-2020

National Provider Directory

National Provider Directory

Locations

106 Manzanares Ave E
Socorro, NM 87801
Phone (505) 835-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1245533835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MANZANARES AVE E",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014213",
            "telephone_number": "575-835-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MANZANARES AVE E",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014213",
            "telephone_number": "575-835-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C WOODARD, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-835-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.