GREG WOODWORTH OD INC (NPI# 1487793667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487793667 |
| Entity Type | Organization |
| Organization Name | GREG WOODWORTH OD INC |
| Practice Address |
575 Fletcher Pkwy El Cajon CA 92020-2522 |
| Practice Telephone | 6194475555 |
| Practice Fax Number | 6194475089 |
| Mailing Telephone | 6194475555 |
| Mailing Fax Number | 6194475089 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. GREG K WOODWORTH (OPTOMETRIST OWNER) |
| Authorized Official Telephone | 6194475555 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
7606TPA | CA | Eye and Vision Services Providers |
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
7606TPA | CA | Eye and Vision Services Providers |
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
7606TPA | CA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 7606TPA | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SAFEGUARD HMO | 46555 | 01 |
| CA | SD0076060 | 05 | |
| CA | MEDICAL EYE SERVICES | 16377 | 01 |
| CA | SAFEGUARD PPO | 50301 | 01 |
| Street Address |
575 FLETCHER PKWY |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942485354 | Greg Woodworth | Optometrist | 575 Fletcher Pkwy, El Cajon, CA 92020-2522 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826586 | Retina Institute of California Medical Group | Optometrist | 225 W Madison Ave Ste 1, El Cajon, CA 92020-3454 | 2019-02-04 |
| 1952707218 | Guru Dutt Sharma, Od A Professional Optometry Corporation | Optometrist | 528 E Main St Ste C, El Cajon, CA 92020-4008 | 2014-11-14 |
| 1699105932 | Sarah Moghadam | Optometrist | 2907 Jamacha Rd, Suite A, El Cajon, CA 92019-4342 | 2013-11-23 |
| 1316383763 | Dana James Huth | Optometrist | 336 Murray Dr, El Cajon, CA 92020-4115 | 2013-05-13 |
| 1790038479 | Barry Katzman, M.d., Inc., Apc | Optometrist | 450 Fletcher Pkwy, #112, El Cajon, CA 92020-2595 | 2012-10-18 |
| 1225362908 | Cassandra Jean Thompson | Optometrist | 2907 Jamacha Rd Ste A, El Cajon, CA 92019-4342 | 2009-09-28 |
| 1215070412 | Victor Mann | Optometrist | 2542 Brown Dr, El Cajon, CA 92020-1767 | 2007-02-15 |
| 1508908047 | Mark Brian Swartz | Optometrist | 355 Fletcher Pkwy, El Cajon, CA 92020-2513 | 2007-02-13 |
| 1104981042 | Yelena Davydova | Optometrist | 539 Parkway Plz, El Cajon, CA 92020-2532 | 2006-12-22 |
| 1619989787 | Richard H Carlson | Optometrist | 2508 Fletcher Pkwy, El Cajon, CA 92020-2107 | 2006-08-13 |
| Find all providers in EL CAJON | ||||
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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.