Robert David Woodruff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001592A Issued in IN

Practice address

2665 Fox Pointe Dr
Columbus, IN 47203-3222

Phone

(812) 379-9893

Fax

(812) 379-9904

NPI assigned

Aug 30, 2005

Last updated

May 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1821081340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 FOX POINTE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033222",
            "telephone_number": "812-379-9893",
            "fax_number": "812-379-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 FOX POINTE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033222",
            "telephone_number": "812-379-9893",
            "fax_number": "812-379-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001592A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100159260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Workplace Health Services
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• Optometrist in Columbus, IN
• Providers in Columbus, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; 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.