Active NPI
William D Woods, OD
- Optometrist
- Dallas, GA
National Provider Identifier
1891774832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 871GA
- Practice address
- 1498 Merchants Dr
Dallas, GA 30132-5064 - Phone
- (770) 445-2715
- Fax
- (770) 445-5805
- NPI assigned
- Jan 10, 2006
- 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 | 871GA | GA | Primary |
Addresses
Primary practice location
1498 Merchants Dr
Dallas, GA 30132-5064
Mailing address
1498 Merchants Dr
Dallas, GA 30132-5064
Phone (770) 445-2715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137880001 | Other | GA | PALMETTO DMERC |
| 0147448 | Other | GA | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 871GA | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891774832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1498 MERCHANTS DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325064",
"telephone_number": "770-445-2715",
"fax_number": "770-445-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1498 MERCHANTS DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301325064",
"telephone_number": "770-445-2715",
"fax_number": "770-445-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "871GA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO DMERC",
"identifier": "0137880001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "0147448",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.