William R Woodman OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2164ATI Issued in OR

Legal business name

WILLIAM R WOODMAN OD PC

Doing business as

Preferred Optical/Sisters Vision Clinic

Practice address

492 E Main Ave
Sisters, OR 97759-1329

Phone

(541) 549-2851

Fax

(541) 549-4473

NPI assigned

Mar 27, 2008

Last updated

Dec 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William R Woodman, O.D.NPI 1619024916

Title

President

Phone

(541) 549-2851

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Preferred Optical/Sisters Vision Clinic Doing business as

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.

• William R Woodman, O.D.

  • Optometrist
  • Bend, OR
  • NPI 1619024916
  NPD (past) Authorized official

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1356513568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591329",
            "telephone_number": "541-549-2851",
            "fax_number": "541-549-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 E MAIN AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591329",
            "telephone_number": "541-549-2851",
            "fax_number": "541-549-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R WOODMAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "WOODMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-549-2851",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2164ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061085",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Optical/Sisters Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Denise Ward, LMT
• Marie Elizabeth Whitaker, DPT
• Julia Ann Wieland-Smith, ACUPUNCTURIST
• Gregory Mathew Wieland, ACUPUNCTURIST
• Nylissa Y Wilkie, LMT
• Julie Ann Wilson, RN
• Maxwell Woodcock
• Jamee Diane Yarrow, MASTERS STUDENT INTE
• Gregory P Zadow, D.P.T.
• Molly Zarnick, FNTP

• Optometrist in Sisters, OR
• Providers in Sisters, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.