Wooldridge Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WOOLDRIDGE OPTOMETRY LLC

Practice address

6470 E State St Ste 128
Rockford, IL 61108-2544

Phone

(815) 332-2223

Fax

(815) 717-7582

NPI assigned

Aug 2, 2019

Organization subpart

No

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

Authorized official

Name

James Wooldridge, OD

Title

Optometrist

Phone

(815) 332-2223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712361600000",
    "number": "1376198713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 E STATE ST STE 128",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082544",
            "telephone_number": "815-332-2223",
            "fax_number": "815-717-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 E STATE ST STE 128",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082544",
            "telephone_number": "815-332-2223",
            "fax_number": "815-717-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLDRIDGE OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "815-332-2223",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Wyatt Wood, M.D.
• Kasten KR Woodcock, CO
• Patrick Woods, DDS
• Patricia Lynn Woodward, P.T.A.
• Sarah Woodward
• James A Wooldridge
• Woolery Dental P.C.
• Jennifer Kay Woolery, D.M.D.
• Christopher Workman, AUD
• Suzanne R Workman, OTR

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2024; 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.