MEDICARE: DR. NORMAN F WOODLIEF MD

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
1	207W00000X	Ophthalmology Physician	23440	MS
2	207W00000X	Ophthalmology Physician	51748	TN
3	207W00000X	Ophthalmology Physician	116425	FL
4	207W00000X	Ophthalmology Physician	0101014540	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180014946	OTHER	IA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1184616989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN F WOODLIEF MD

Provider Business Mailing Address
First Line	:	220 CAMPUS BLVD STE 100
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2896
Country	:	US
Telephone Number	:	540-536-5100
Fax Number	:	540-536-0235

Provider Business Practice Location Address
First Line	:	190 CAMPUS BLVD STE 210
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2872
Country	:	US
Telephone Number	:	540-536-5820
Fax Number	:	540-536-5821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	03/07/2023

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