Active NPI
William A. Woolf, MD
- Ophthalmology Physician
- Midway, UT
National Provider Identifier
1659341964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 12359582-1205
- Practice address
- 759 Double Eagle Dr
Midway, UT 84049-6616 - Phone
- (480) 510-8541
- Fax
- (480) 522-3536
- NPI assigned
- Jan 26, 2006
- Last updated
- Jul 5, 2024
- 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 | 12359582-1205 | UT | Primary |
Addresses
Primary practice location
759 Double Eagle Dr
Midway, UT 84049-6616
Mailing address
759 Double Eagle Dr
Midway, UT 84049-6616
Phone (480) 510-8541
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12359582-1205 | UT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1659341964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "759 DOUBLE EAGLE DR",
"city": "MIDWAY",
"state": "UT",
"postal_code": "840496616",
"telephone_number": "480-510-8541",
"fax_number": "480-522-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 DOUBLE EAGLE DR",
"city": "MIDWAY",
"state": "UT",
"postal_code": "840496616",
"telephone_number": "480-510-8541",
"fax_number": "480-522-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLF",
"first_name": "WILLIAM",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "UT",
"license": "12359582-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midway, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.