Greg Woodworth Od Inc
LBN: Greg Woodworth Od Inc
Greg Woodworth Od Inc is an health care organization with primary practice located at 575 Fletcher Pkwy , El Cajon CA 92020-2522. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Greg Woodworth Od Inc can be contacted via phone (619) 447-5555, or through Woodworth, Greg K via phone (619) 447-5555.
Contact Information
Primary practice address
575 Fletcher Pkwy
El Cajon CA 92020-2522
Phone: (619) 447-5555
Fax: (619) 447-5089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7606TPA | California |
| Eye and Vision Services Providers / Contact Lens | 156FC0800X | 7606TPA | California |
| Eye and Vision Services Providers / Contact Lens Fitter | 156FC0801X | 7606TPA | California |
| Eye and Vision Services Providers / Optician | 156FX1800X | 7606TPA | California |
Profile Details
| NPI number | 1487793667 |
|---|---|
| LBN Legal business name | Greg Woodworth Od Inc |
| DBA Doing business as | |
| Authorized official | Woodworth, Greg K Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jun 2nd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487793667 | NPPES |
| California | MEDICAID | SD0076060 | |
| California | Other | 46555 | |
| California | Other | 16377 | |
| California | Other | 50301 |
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