Individual
DR. MATTHEW J. WOODYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2003017104
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295737294
GROUP NPI
MO
01
—
1366411969
INDIVIDUAL NPI
MO
05
—
1366411969
—
MO
01
—
179523
BLUE CROSS BLUE SHIELD MO
—
01
—
1962644732
GROUP NPI
MO
01
—
211205
COLE
—
01
—
26004
OPTICARE MED. COMPLETE
—
05
—
319024600
—
MO
05
—
319024618
—
MO
01
—
45351
HEALTHCARE USA
MO
01
—
51675
DAVIS VISION
—
01
—
674993
HEALTHLINK
—
01
—
990301722
MEDICARE PART B
MO
01
—
MA2784
GROUP PTAN
MO
01
—
MO7104
EYEMED
—
01
—
P00403049
RR MEDICARE
MO
Enumeration date
03/16/2006
Last updated
12/19/2012
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