Individual provider Active NPI

D Reid Woodard, OD

  • Optometrist
  • Graham, NC
National Provider Identifier
1720168289
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1236 Issued in NC
Practice address
304 S Main St
Graham, NC 27253-3320
Phone
(336) 227-4448
Fax
(336) 226-3926
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1236 NC Primary

Addresses

Primary practice location

304 S Main St
Graham, NC 27253-3320

Mailing address

PO Box 1090
Graham, NC 27253-1090
Phone (336) 227-4448

Other identifiers 4

IdentifierTypeStateIssuer
09081OtherBCBS
8909081MedicaidNC
14236OtherPARTNERS
2200608OtherUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000953 NC Practitioner - Optometry 2860578135 Reassigns benefits to 1 organization
Practice locations: Graham, NC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodard Eye Care OD PLLCGroup PAC ID 3678819513, 3 clinicians

Practice addresses (Care Compare)

304 S Main St
Graham, NC 27253-3320
Phone (336) 227-4448

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC1236NCMDOptometrist
1236NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodard Eye Care OD PLLC Optometrist CurrentSince Oct 27, 2018 Accepting new patients

Locations

304 S Main St
Graham, NC 27253
Phone (336) 227-4448

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1720168289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272531090",
            "telephone_number": "336-227-4448",
            "fax_number": "336-226-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S MAIN ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272533320",
            "telephone_number": "336-227-4448",
            "fax_number": "336-226-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "D",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09081",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909081",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "14236",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

Verify at the official NPI Registry.