Provider Demographics
NPI:1497918692
Name:WOODCOME ASSOC INC.
Entity Type:Organization
Organization Name:WOODCOME ASSOC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WOODCOME
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:585-427-0780
Mailing Address - Street 1:1425 JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3139
Mailing Address - Country:US
Mailing Address - Phone:585-427-0780
Mailing Address - Fax:585-427-0781
Practice Address - Street 1:1425 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3139
Practice Address - Country:US
Practice Address - Phone:585-427-0780
Practice Address - Fax:585-427-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT003495152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty