Woodrow Wilson Justice, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T875 Issued in TN

Practice address

358 New Byhalia Rd
Suite 3
Collierville, TN 38017-3743

Phone

(901) 853-8180

Fax

(901) 853-1421

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Collierville Vision Center PLLC

  • Optometrist
  • Collierville, TN
  • NPI 1760888549
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1619916723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "address_2": "215 S. WASHINGTON ST.",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380080524",
            "telephone_number": "731-658-9522",
            "fax_number": "731-658-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 NEW BYHALIA RD",
            "address_2": "SUITE 3",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173743",
            "telephone_number": "901-853-8180",
            "fax_number": "901-853-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "WOODROW",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perrin L Jones Jr., D.D.S.
• Sonya N Jones, MD
• Neena Joshi
• Joshua a. Holcomb, D.D.S., P.L.L.C.
• Shannon Brooke Joyce
• K&T Transportation (Kevin A. Walls)
• Brittany Kasprack, DC
• Kathryn a. Sneed, DMD, Mba, PLLC (Sneed Dental Arts)
• Harold Peter Kavoussi, MD
• Kelsey Kee, MS, PA-C

• Optometrist in Collierville, TN
• Providers in Collierville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.