National Provider Identifier Database

KEVIN D WOODBURN, OD – NPI #1912953217
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

KEVIN D WOODBURN, OD
400 SIERRA COLLEGE DR.
SUITE A
GRASS VALLEY, CA95945
Phone: 530-272-3411
Fax: 530-272-3474
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KEVIN D WOODBURN

NPI Number 1912953217
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/26/2006
Last updated 01/10/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 6840TLG
  • CA Medicaid: SD0068400
Hospital affiliation n/a

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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