Active NPI
Randall Woods, D.O.
- Ophthalmology Physician
- Sun Lakes, AZ
National Provider Identifier
1497907323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2037
- Practice address
- 24219 S Desert Vale Dr
Sun Lakes, AZ 85248 - Phone
- (480) 710-7988
- NPI assigned
- Oct 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2037 | AZ | Primary |
Addresses
Primary practice location
24219 S Desert Vale Dr
Sun Lakes, AZ 85248
Mailing address
24219 S Desert Vale Dr
Sun Lakes, AZ 85248
Phone (480) 710-7988
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
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1497907323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24219 S DESERT VALE DR",
"city": "SUN LAKES",
"state": "AZ",
"postal_code": "85248",
"telephone_number": "480-710-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24219 S DESERT VALE DR",
"city": "SUN LAKES",
"state": "AZ",
"postal_code": "85248",
"telephone_number": "480-710-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-22",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AZ",
"license": "2037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun Lakes, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.