Individual
DR. ROBERT EVERETT WOODRUFF II
Active
Individual
DR. ROBERT EVERETT WOODRUFF II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3445T708
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138931
ANTHEM ID
—
05
—
0403594
—
OH
01
—
061090001
DMERC/ADMINISTAR
—
01
—
341793205
FED ID NUMBER
—
01
—
580002428
PALMETTO MEDICARE NO.
—
Enumeration date
06/13/2005
Last updated
06/08/2021
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