Woolner Family Eyecare, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV-007491-1 Issued in NY

Legal business name

WOOLNER FAMILY EYECARE, O.D., P.C.

Practice address

23 Central PLZ
Ilion, NY 13357-1701

Phone

(315) 894-3325

Fax

(315) 894-6000

NPI assigned

Dec 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Woolner, O.D.NPI 1497988059

Title

President

Phone

(315) 894-3325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Timothy R Woolner, O.D

  • Optometrist
  • Ilion, NY
  • NPI 1497988059
  Medicare reassignment NPD Authorized official
• Lynn R Henry, O.D.

  • Optometrist
  • Ilion, NY
  • NPI 1447257480
  NPD (past)

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1295038834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-3325",
            "fax_number": "315-894-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CENTRAL PLZ",
            "city": "ILION",
            "state": "NY",
            "postal_code": "133571701",
            "telephone_number": "315-894-3325",
            "fax_number": "315-894-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLNER FAMILY EYECARE, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "WOOLNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-894-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-007491-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village of Ilion
• Patricia A Wagner, RPH
• Walgreen Co
• Bodhwatie White
• Rhonda Lee White, REGISTERED NURSE
• Timothy R Woolner, O.D

• Optometrist in Ilion, NY
• Providers in Ilion, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.