Greg Woodworth OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

7606TPA Issued in CA

Legal business name

GREG WOODWORTH OD INC

Practice address

575 Fletcher Pkwy
El Cajon, CA 92020-2522

Phone

(619) 447-5555

Fax

(619) 447-5089

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Greg K Woodworth, OD

Title

Optometrist Owner

Phone

(619) 447-5555

Specialties & licenses 4

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1487793667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 FLETCHER PKWY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202522",
            "telephone_number": "619-447-5555",
            "fax_number": "619-447-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 FLETCHER PKWY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202522",
            "telephone_number": "619-447-5555",
            "fax_number": "619-447-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG WOODWORTH OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "619-447-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7606TPA",
            "primary": true
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "CA",
            "license": "7606TPA",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "CA",
            "license": "7606TPA",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "7606TPA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0076060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD HMO",
            "identifier": "46555",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "16377",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD PPO",
            "identifier": "50301",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Greene-Cairnduff
• Alyssa Marie Greene
• Stacy Greene
• Evangelina Camou Greenhouse
• Linda Diane Greer, A.T.,C.,P.T.A.
• Nicole Marie Grenier
• Ryan K Grider, RADT
• Tamsen Griggs
• Yuriko Grijalva
• Alanni Grimaldo

• Optometrist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.