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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

NPI # 1487793667
LBN Legal business name GREG WOODWORTH OD INC
Authorized official GREG WOODWORTH - (OPTOMETRIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 06/02/2008 - About 18 years ago
Identifiers
CA License # 7606TPA
CA Medicaid SD0076060
CA Other 16377 MEDICAL EYE SERVICES
CA Other 46555 SAFEGUARD HMO
CA Other 50301 SAFEGUARD PPO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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