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Contact Information

GREG WOODWORTH OD INC
575 FLETCHER PKWY
EL CAJON, CA92020-2522
 Phone: 619-447-5555
 Fax: 619-447-5089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens

156FC0800X
 

Contact Lens Fitter

156FC0801X
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for GREG WOODWORTH OD INC · (Female)

NPI # 1487793667
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2007
Last updated 06/02/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 7606TPA
  • CA Medicaid SD0076060
  • CA Other 16377 MEDICAL EYE SERVICES
  • CA Other 46555 SAFEGUARD HMO
  • CA Other 50301 SAFEGUARD PPO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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