JOHN WOODCOCK, JR (NPI# 1316482094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316482094 |
| Entity Type | Individual |
| Full Name | JOHN WOODCOCK, JR |
| Practice Address |
220 Salem Tpke Norwich CT 06360-6455 |
| Practice Telephone | 8608876696 |
| Practice Fax Number | 8608877850 |
| Mailing Telephone | 8608876696 |
| Mailing Fax Number | 8608877850 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
000724 | CT | Eye and Vision Services Providers |
| Street Address |
220 SALEM TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932154358 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-05-24 |
| 1093223745 | Garrett Davis | Pharmacist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2018-01-16 |
| 1962915637 | Lisa Adams | Pharmacist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2017-11-15 |
| 1770095598 | Anthony Zarra | Pharmacist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2017-11-02 |
| 1013365238 | Erica Yorgensen | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2016-05-27 |
| 1154779379 | Justine Burdick | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2016-05-27 |
| 1770667099 | Walmart Stores East, Lp | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-10-24 |
| 1497836829 | Mark D. Yorgensen | Optometrist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-10-19 |
| 1144247420 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578613006 | John Gadsby Birdsall IIi | Technician/Technologist | 5811 County Rt. 32, Norwich, NY 13815 | 2007-01-10 |
| 1932609740 | Amy L. Easterlin | Technician/Technologist | 79 Wawecus St Ste 105, Norwich, CT 06360-2173 | 2018-02-19 |
| 1144720954 | Clifton J Brann | Technician/Technologist | 79 Wawecus St Ste 105, Norwich, CT 06360-2173 | 2018-02-19 |
| 1013365238 | Erica Yorgensen | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2016-05-27 |
| 1154779379 | Justine Burdick | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2016-05-27 |
| 1043697352 | Carl Kammerer | Technician/Technologist | 79 Wawecus St, Suite 105, Norwich, CT 06360-2178 | 2015-05-06 |
| 1992080097 | Christopher Mozden | Technician/Technologist | 7 Clinic Dr, Norwich, CT 06360-2915 | 2011-10-20 |
| 1770667099 | Walmart Stores East, Lp | Technician/Technologist | 220 Salem Tpke, Norwich, CT 06360-6455 | 2006-10-24 |
| 1124132006 | Wal-mart Stores East, Lp | Technician/Technologist | 5396 State Highway 12, Norwich, NY 13815-3211 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677481 | Ronald Haas Jr. | Technician/Technologist | 24 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-07-27 |
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
| 1881228237 | Rene R Rivard | Technician/Technologist | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | 2020-02-25 |
| 1588203301 | Rebecca Eneida Soto | Technician/Technologist | 20 Pasco Drive Suit A, East Windsor, CT 06088 | 2019-12-26 |
| 1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1215480785 | George Hatsian | Technician/Technologist | 4 High Hill Cir, Weatogue, CT 06089-9728 | 2016-08-01 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.