DR. MATTHEW J. WOODYARD (NPI# 1366411969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366411969 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW J. WOODYARD |
| Credential | O.D. |
| Practice Address |
11477 Olive Blvd Creve Coeur MO 63141-7108 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 3145673884 |
| Practice Fax Number | 8004326004 |
| Mailing Telephone | 3145673884 |
| Mailing Fax Number | 8004326004 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2012-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2003017104 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHCARE USA | 45351 | 01 |
| COLE | 211205 | 01 | |
| HEALTHLINK | 674993 | 01 | |
| EYEMED | MO7104 | 01 | |
| BLUE CROSS BLUE SHIELD MO | 179523 | 01 | |
| MO | RR MEDICARE | P00403049 | 01 |
| MO | 319024600 | 05 | |
| MO | GROUP PTAN | MA2784 | 01 |
| OPTICARE MED. COMPLETE | 26004 | 01 | |
| MO | MEDICARE PART B | 990301722 | 01 |
| MO | GROUP NPI | 1295737294 | 01 |
| MO | INDIVIDUAL NPI | 1366411969 | 01 |
| MO | 1366411969 | 05 | |
| MO | GROUP NPI | 1962644732 | 01 |
| MO | 319024618 | 05 | |
| DAVIS VISION | 51675 | 01 |
| Street Address |
11477 OLIVE BLVD |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124186135 | Nu-crown, Inc. | Optometrist | 11477 Olive Blvd, Creve Coeur, MO 63141-7108 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407871296 | Sean P Mulqueeny | Optometrist | 612 N New Ballas Road, Creve Coeur, MO 63141-6714 | 2006-07-13 |
| 1588662746 | Judith Lynn Miles | Optometrist | 12422 Olive Blvd, Creve Coeur, MO 63141-6392 | 2005-07-12 |
| 1093711137 | Todd E Bellamy | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2005-06-23 |
| 1285252262 | George Joseph Dowdy | Optometrist | 12422 Olive Blvd, Creve Coeur, MO 63141-6392 | 2020-07-07 |
| 1093232456 | Cailyn Christine Katsev | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2017-08-26 |
| 1306378450 | Senija Turan | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2017-03-29 |
| 1437488400 | Nancy Ketring Kennedy | Optometrist | 633 Emerson Rd, Creve Coeur, MO 63141-6739 | 2009-12-21 |
| 1104007855 | Clarkson Optometry Inc | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2007-11-23 |
| 1033306709 | Aaron Michael Brewer | Optometrist | 11433 Olive Blvd, Creve Coeur, MO 63141-7108 | 2007-09-26 |
| 1306988100 | The Lasik Vision Institute LLC | Optometrist | 425 N New Ballas Rd, Suite 230, Creve Coeur, MO 63141-6814 | 2007-02-12 |
| Find all providers in CREVE COEUR | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.