| Dr Ethan C Woodbury, OD | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-6255 | |
| (210) 292-7934 |
| Full Name | Dr Ethan C Woodbury |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295998193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 7024839-9934 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan C Woodbury, OD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255 | Dr Ethan C Woodbury, OD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255 |
Dr. Lisa Leader Kohler, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-2385 | |
Daniel K Gullekson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-1055 | |
Dr. Diego L Vega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4233 Fax: 210-292-2313 | |
Matt Sin Valdes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 433 Aerospace Medicine Sq, Jbsa Lackland, TX 78236 Phone: 210-925-7850 | |
Roxana Carol Gomez, Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 Fax: 210-292-7934 | |
Christine Stabile, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-395-9809 |