Organization Active NPI

Woodham Eye Care LLC

  • Optometrist
  • Moline, IL
National Provider Identifier
1740948652
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WOODHAM EYE CARE LLC
Doing business as
Family Eye Care Doctors of Optometry
Practice address
4429 16TH St
Moline, IL 61265-7011
Phone
(309) 762-3937
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Joshua Woodham, ODNPI 1194138123
Title
Optometrist/Owner
Phone
(563) 508-8451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4429 16TH St
Moline, IL 61265-7011

Mailing address

4429 16TH St
Moline, IL 61265-7011

Other practice location 1

2150 E Kimberly Rd
Davenport, IA 52807-2225
Phone (563) 359-0791

Other names 1

  • Family Eye Care Doctors of Optometry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjoshw@familyeyecareod.com

National Provider Directory

National Provider Directory

Locations

4429 16th St
Moline, IL 61265
Phone (309) 762-3937

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1740948652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4429 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657011",
            "telephone_number": "309-762-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 E Kimberly Rd",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528072225",
            "country_code": "US",
            "telephone_number": "563-359-0791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOODHAM EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "WOODHAM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "563-508-8451",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjoshw@familyeyecareod.com",
            "affiliation": "N",
            "address_1": "4429 16th St",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612657011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Eye Care Doctors of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.

Verify at the official NPI Registry.