Woodruff, Robert David

Woodruff, Robert David is an individual health care provider with primary practice located at 2665 Fox Pointe Dr , Columbus IN 47203-3222. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Woodruff, Robert David can be contacted via phone (812) 379-9893.

Contact Information

Primary practice address
2665 Fox Pointe Dr Columbus IN 47203-3222
Phone: (812) 379-9893
Fax: (812) 379-9904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18001592A Indiana

Profile Details

NPI number 1821081340
LBN Legal business name Woodruff, Robert David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated May 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821081340 NPPES
Indiana MEDICAID 100159260

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