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NPI Code Detail

MEDICARE: DR. PATRICK HAROLD WOODRING O.D.

MEDICARE: DR. PATRICK HAROLD WOODRING O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT6841CA

General Provider Information

NPI Number : 1144376468
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK HAROLD WOODRING O.D.
Provider Business Mailing Address
First Line : 1621 SOLANO AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2108
Country : US
Telephone Number : 510-526-3937
Fax Number : 510-526-6133
Provider Business Practice Location Address
First Line : 1621 SOLANO AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94707-2108
Country : US
Telephone Number : 510-526-3937
Fax Number : 510-526-6133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2007
Last Update Date : 03/12/2008

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