Woldorff Family Optometry PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1823 Issued in NC

Legal business name

WOLDORFF FAMILY OPTOMETRY PA

Practice address

813 Broad St
Durham, NC 27705-4137

Phone

(919) 381-5365

Fax

(919) 381-5366

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Constance Lansing Woldorff, ODNPI 1205819554

Title

President

Phone

(919) 270-9284

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance L Woldorff, OD

  • Optometrist
  • Durham, NC
  • NPI 1205819554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1295037851",
    "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": "919-381-5266"
        },
        {
            "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": {
        "organization_name": "WOLDORFF FAMILY OPTOMETRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "WOLDORFF",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "LANSING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-270-9284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917825",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Allan Witt, M.D.
• Julie H Witte, D.D.S
• Stephanie J. Woelfle, NP
• Colleen Theresa Wojciechowski, MSN, GNP-C
• Jessica Ann Wolak, OTRL
• Constance L Woldorff, OD
• Heather L Wolek, PA-C
• Mark Edward Wolever, PHD
• Brian E Wolf, M.D.
• Rachel Morgan Wolfe-Miller, MD

• Optometrist in Durham, NC
• Providers in Durham, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.