Woolf Eye Clinic, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

12396 Issued in AZ

Legal business name

WOOLF EYE CLINIC, LTD

Practice address

2855 E Brown Rd
Suite #10
Mesa, AZ 85213-4213

Phone

(480) 969-1000

Fax

(480) 644-0869

NPI assigned

Aug 14, 2007

Last updated

Jul 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William A Woolf, M.D.

Title

Owner

Phone

(480) 969-1000

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1811189731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31447",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852751447",
            "telephone_number": "480-969-1000",
            "fax_number": "480-644-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E BROWN RD",
            "address_2": "SUITE #10",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852134213",
            "telephone_number": "480-969-1000",
            "fax_number": "480-644-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLF EYE CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-969-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "12396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS0717",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0029640",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204199-001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan George Woods, DDS
• William G Woods, DDS
• Woodward Foundation for the Disabled
• Shelly K. Woodward, PHD
• Woolf Dental
• Alaina Woolf
• Dallas M Woolf, DDS
• Kamryn Woolf
• Mac M. Woolf, DDS
• Kathryn Marie Woolley, DRIVER

• Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.