Scott E. Woodruff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2885ATI Issued in OR

Legal business name

SCOTT E. WOODRUFF, O.D.

Doing business as

New Visions Eyecare

Practice address

371 NE Garden Valley Blvd
Roseburg, OR 97470-2039

Phone

(541) 673-4166

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Scott Edwin Woodruff, O.D.

Title

Optometrist

Phone

(541) 673-4166

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Visions Eyecare Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Lawrence Stanley, O.D.

  • Optometrist
  • Roseburg, OR
  • NPI 1023009610
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1942486238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 NE GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702039",
            "telephone_number": "541-673-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NE GARDEN VALLEY BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702039",
            "telephone_number": "541-673-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT E. WOODRUFF, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "541-673-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2885ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286597",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Visions Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grant Schroeder
• Lauren Kay Schroeder, D.C.
• Jessica Michelle Schulze, RN
• William Kerr Schuyler, DMD
• Memoriee Sconce, RN
• Donna Scott, RN
• James Dennis Scott, MD
• Herman Seaborn Jr., QMHA
• Ann R Sedlacek, PMHNP
• Bradley H Seely, MD

• Optometrist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.