Active NPI
Brian Todd Woolf, O.D.
- Optometrist
- Pasadena, MD
National Provider Identifier
1760577605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1615
- Practice address
- 2446 Mountain Rd
Pasadena, MD 21122-1298 - Phone
- (410) 255-8056
- Fax
- (410) 360-8689
- NPI assigned
- Oct 4, 2006
- Last updated
- May 29, 2013
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1615 | MD | Primary |
Addresses
Primary practice location
2446 Mountain Rd
Pasadena, MD 21122-1298
Mailing address
2446 Mountain Rd
Pasadena, MD 21122-1298
Phone (410) 255-8056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800368800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2446 Mountain Rd
Pasadena, MD 21122-1298
Phone (410) 255-8056
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1760577605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2446 MOUNTAIN RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221298",
"telephone_number": "410-255-8056",
"fax_number": "410-360-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2446 MOUNTAIN RD",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221298",
"telephone_number": "410-255-8056",
"fax_number": "410-360-8689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLF",
"first_name": "BRIAN",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800368800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.