Ethan C Woodbury in Grand Forks Afb - Optometrist
Ethan C Woodbury - NPI 1295998193
Ethan C Woodbury is a Optometrist in Grand Forks Afb, North Dakota. Ethan C Woodbury practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ethan C Woodbury is 1295998193. The last update date is 2021-07-15.
Ethan C Woodbury's current location address is 1599 J St, Grand Forks Afb, North Dakota. You can contact this provider via phone number 7017475515. The mailing address for Ethan C Woodbury is 1599 J St, Grand Forks Afb, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan C Woodbury |
|---|---|
| Address | 1599 J St, Grand Forks Afb, North Dakota |
| Phone Number | 7017475515 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1295998193 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2021-07-15 |
Provider Mailing Address Detail
| Address | 1599 J St |
|---|---|
| City | Grand Forks Afb |
| State | North Dakota (ND) |
| Post Code | 582056306 |
| Phone Number | 7017475515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 7024839-9934 |
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Definition: 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 |
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What is the unique identification code assigned to Ethan C Woodbury by the Centers for Medicare & Medicaid Services?
The Ethan C Woodbury has been issued the NPI (National Provider Identifier) 1295998193. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ethan C Woodbury?
The Ethan C Woodbury is situated at 1599 J St, in the city of Grand Forks Afb, state of ND, with the zip code 582056306.
What is the Ethan C Woodbury's area of specialization and corresponding taxonomy classification?
The Ethan C Woodbury's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Ethan C Woodbury receive the assignment of its 1295998193 from the Centers for Medicare & Medicaid Services?
The Ethan C Woodbury was issued its 1295998193 by the Centers for Medicare & Medicaid Services on 2008-07-10.
When was the information regarding Ethan C Woodbury most recently updated?
The details pertaining to the Ethan C Woodbury, including its address, specialty, and other relevant information, were last refreshed on 2021-07-15.
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