Henry E Woodcome, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2607 Issued in MA

Practice address

63 Main St
Brockton Neighborhood Health Center
Brockton, MA 02301-4042

Phone

(508) 894-3503

Fax

(508) 559-5073

NPI assigned

May 3, 2006

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 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1861450181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "address_2": "ATTN: VIRGILIA PIRES",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014042",
            "telephone_number": "508-894-3503",
            "fax_number": "508-559-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 MAIN ST",
            "address_2": "BROCKTON NEIGHBORHOOD HEALTH CENTER",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014042",
            "telephone_number": "508-894-3503",
            "fax_number": "508-559-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOME",
        "first_name": "HENRY",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA # LTH",
            "identifier": "00026097302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE # LTH",
            "identifier": "101944CS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE # LTH",
            "identifier": "P010003495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Wei Chiang Woo, M.D.
• Carmen Wood
• Clayton Wood, MD
• Lynne V. Wood, L.I.C.S.W.
• Stephen Paul Wood, NP
• Tamra Jean Woodford
• Denni J. Woodmansee, PA-C
• Christina Woodward, MD
• Sandra Marilu Woodward
• Nell Woodworth

• Optometrist in Brockton, MA
• Providers in Brockton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.