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EYES OF WOODLAND OPTOMETRY APC NPI 1043349822


NPI Information

NPI: 1043349822
Provider Name: EYES OF WOODLAND OPTOMETRY, APC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
421 PIONEER AVE STE B
WOODLAND, CA
ZIP 95776
Phone: (530) 661-0300
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EYES OF WOODLAND OPTOMETRY, APC is an eyewear supplier in Woodland, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYES OF WOODLAND OPTOMETRY, APC NPI is 1043349822. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 PIONEER AVE STE B
WOODLAND, CA
ZIP 95776-948
Phone: (530) 661-0300

The provider's authorized official is Amy Michelle Brown .
The authorized official title is Owner and has the following contact phone number (530) 661-0300.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 9/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist11430TCALIFORNIANo
2152W00000XOptometrist7260TCALIFORNIANo
3152W00000XOptometrist128870TCALIFORNIANo
4152W00000XOptometrist123040TCALIFORNIANo
5332H00000XEyewear Supplier3938320001CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GSD 004510MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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