Bernadette Susan Woods-McShane Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2573 Issued in FL

Legal business name

BERNADETTE SUSAN WOODS-MCSHANE INC

Doing business as

Woods-McShane Eye Care

Practice address

4310 S Hopkins Ave
Titusville, FL 32780-6610

Phone

(321) 383-7772

NPI assigned

Jun 11, 2007

Last updated

Jan 14, 2009By 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. Susan Bernadette Woods, O.D

Title

President

Phone

(321) 383-7772

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woods-McShane Eye Care Doing business as

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1831392323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 S HOPKINS AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806610",
            "telephone_number": "321-383-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 S HOPKINS AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806610",
            "telephone_number": "321-383-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNADETTE SUSAN WOODS-MCSHANE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-383-7772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AG499",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5886500001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woods-McShane Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Titusville, FL
• Providers in Titusville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.