Woodworth, Greg
Woodworth, Greg is an individual health care provider with primary practice located at 575 Fletcher Pkwy , El Cajon CA 92020-2522. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Woodworth, Greg can be contacted 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 |
Profile Details
| NPI number | 1942485354 |
|---|---|
| LBN Legal business name | Woodworth, Greg |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2008 |
| Last updated | Jun 2nd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942485354 | NPPES |
| California | MEDICAID | SD0076060 | |
| California | Other | 16377 | |
| California | Other | 46555 | |
| California | Other | 50301 |
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