James C Wooldridge (NPI# 1417382896, PAC ID# 5799919577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1417382896 |
PAC ID by PECOS | 5799919577 |
Professional Enrollment ID | I20131010000291 |
Full Name | James C Wooldridge |
Organization Legal Name | WOOLDRIDGE OPTOMETRY LLC |
Address |
7200 Harrison Ave E265 Rockford IL 61112-1017 |
Phone Number | 8153322223 |
Gender | M |
Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
Graduation Year | 2013 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 6608106562 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
7200 Harrison Ave, E265, Rockford, IL 61112-1017 | 8153322223 | WOOLDRIDGE OPTOMETRY LLC |
Organization Legal Name | WOOLDRIDGE OPTOMETRY LLC |
Physicians | 1 |
Street Address |
7200 HARRISON AVE E265 |
City | ROCKFORD |
State | IL |
Zip | 61112-1017 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wingyin Hui | Optometry | Facchiano and Associates PC | E265 Cherryvale Mall, Rockford, IL 61112 |
Mark E Carlson | Orthopedic Surgery | Carlson Orthopedic Clinic Sc | 1848 Daimler Rd, Suite 1, Rockford, IL 61112-1019 |
Kelly L Magoon | Physician Assistant | Carlson Orthopedic Clinic Sc | 1848 Daimler Rd, Rockford, IL 61112-1019 |
Glennetta M Coleman | Internal Medicine | 1893 Daimler Rd, Rockford, IL 61112-1081 | |
Brant D Hulsebus | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
Craig A Stear Jr. | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
Joshua Berven | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
Nathaniel Hays | Chiropractic | Hulsebus Rockford Chiropractic | 1877 Daimler Rd, Rockford, IL 61112-1098 |
City | ROCKFORD |
Zip Code | 61112 |
Specialty | OPTOMETRY |
City + Specialty | ROCKFORD + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.