Individual provider Active NPI

Ann S. Woods

  • Optometrist
  • Salem, OR
National Provider Identifier
1316133796
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3272ATI Issued in OR
Practice address
1940 Turner Rd SE
Salem, OR 97302-2003
Phone
(503) 391-0756
Fax
(503) 391-0758
NPI assigned
Sep 19, 2007
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3272ATI OR Primary

Addresses

Primary practice location

1940 Turner Rd SE
Salem, OR 97302-2003

Mailing address

17252 SW 136TH Ave
King City, OR 97224-2224
Phone (503) 312-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wink Eyecare, Inc. Optometrist CurrentSince Feb 2, 2020 Accepting new patients
Eleanor Munoz LLC Optometrist PastSince Mar 17, 2021 Accepting new patients

Locations

1940 Turner Rd SE
Salem, OR 97302
Phone (503) 391-0586

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1316133796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17252 SW 136TH AVE",
            "city": "KING CITY",
            "state": "OR",
            "postal_code": "972242224",
            "telephone_number": "503-312-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 TURNER RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022003",
            "telephone_number": "503-391-0756",
            "fax_number": "503-391-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ANN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3272ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.