Individual
DR. GREG WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
575 FLETCHER PKWY, EL CAJON, CA 92020-2522
(619) 447-5555
(619) 447-5089
Mailing address
575 FLETCHER PKWY, EL CAJON, CA 92020-2522
(619) 447-5555
(619) 447-5089
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7606TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16377
MEDICAL EYE SERVICES
CA
01
—
46555
SAFEGUARD HMO
CA
01
—
50301
SAFEGUARD PPO
CA
05
—
SD0076060
—
CA
Enumeration date
01/03/2008
Last updated
06/02/2008
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