Active NPI
Woodham Eye Care LLC
- Optometrist
- Moline, IL
National Provider Identifier
1740948652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Woodham, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drjoshw@familyeyecareod.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Davenport, IA
- NPI 1194138123
-
- Optometrist
- Moline, IL
- NPI 1043283146
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.