| Dr Robert Everett Woodruff Ii, OD | |
|
8051 Vesta Ave, Ste 2, Northfield, OH 44067-2044 | |
| (330) 468-0585 | |
| (330) 468-1083 |
| Full Name | Dr Robert Everett Woodruff Ii |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 8051 Vesta Ave, Northfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194729533 | NPI | - | NPPES |
| 000000138931 | Other | ANTHEM ID | |
| 341793205 | Other | FED ID NUMBER | |
| 061090001 | Other | DMERC/ADMINISTAR | |
| 0403594 | Medicaid | OH | |
| 580002428 | Other | PALMETTO MEDICARE NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3445T708 (Ohio) | Primary |
| Provider Name | Wrea Ii Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780696617 PECOS PAC ID: 5193796670 Enrollment ID: O20040805001611 |
| Provider Name | Northern Ohio Eye Consultants, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386752558 PECOS PAC ID: 3577537810 Enrollment ID: O20040823001362 |
| Provider Name | Western Reserve Eye Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821000753 PECOS PAC ID: 1456391655 Enrollment ID: O20050506000480 |
| Provider Name | Clarkson Optometry Midwest Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20150113001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Everett Woodruff Ii, OD Po Box 207170 Ste 2, Dallas, TX 75320-7173 Ph: (636) 200-4393 | Dr Robert Everett Woodruff Ii, OD 8051 Vesta Ave, Ste 2, Northfield, OH 44067-2044 Ph: (330) 468-0585 |
Kathy Ritter Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8051 Vesta Ave Ste 2, Northfield, OH 44067 Phone: 330-468-0585 | |
James R. Pearl, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9391 Olde 8 Rd, Northfield, OH 44067 Phone: 330-467-7600 Fax: 330-468-3937 | |
Clarkson Optometry Midwest Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8051 Vesta Ave Ste 2, Northfield, OH 44067 Phone: 330-468-0585 Fax: 330-633-7165 | |
Robert E Woodruff, Ii, Od, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8051 Vesta Ave, Ste # 2, Northfield, OH 44067 Phone: 330-468-0585 Fax: 330-468-1083 |