Individual
DR. DAVID THOMAS WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
311 N 3RD ST, BARDSTOWN, KY 40004-1507
(502) 348-8584
(502) 348-4695
Mailing address
311 N 3RD ST, BARDSTOWN, KY 40004-1507
(502) 348-8584
(502) 348-4695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1248DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049974
UNICARE PROVIDER NUMBER
KY
01
—
11314
UNITED HEALTH CARE
KY
01
—
410023108
RAILROAD MEDICARE NUMBER
KY
01
—
4673505
AETNA PROVIDER NUMBER
KY
05
—
77012482
—
KY
01
—
911296
PASSPORT PROVIDER NUMBER
KY
Enumeration date
03/08/2007
Last updated
05/11/2011
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