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NPI 1841542537ActiveOrganization· Optometrist· Roseburg, OR

Optometrist in Roseburg, Oregon, registered in NPPES in October 2012. The authorized official on file is Scott Woodruff, Doctor/Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.

Overview

NPI1841542537
StatusActive
Entity typeOrganization
NPI issuedOct 5, 2012
Last updated in NPPESOct 5, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Physician - Optometrist (OR); Part B Supplier - Clinic/Group Practice (OR)

Medicare sources and data years

Other Optometrist providers in Roseburg

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