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NPI Code Detail

MEDICARE: DR. MICHAEL PATRICK WOODS O. D.

MEDICARE:  DR. MICHAEL PATRICK WOODS  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
1152W00000XOptometristOD00001321WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417008178
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL PATRICK WOODS O. D.
Provider Business Mailing Address
First Line : 915 VINTAGE VALLEY PARKWAY
Second Line : SUITE 100
City : ZILLAH
State : WA
Zip : 98953
Country : US
Telephone Number : 509-865-2777
Fax Number : 509-865-4021
Provider Business Practice Location Address
First Line : 915 VINTAGE VALLEY PARKWAY
Second Line : SUITE 100
City : ZILLAH
State : WA
Zip : 98953
Country : US
Telephone Number : 509-865-2777
Fax Number : 509-865-4021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 06/11/2015

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Directions to “ DR. MICHAEL PATRICK WOODS O. D.” Practice Location

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