Randy Devoe Woolf, OPTOMETRIST (OD) | |
Jc Penney Optical,, 4730 N. Division St, Spokane, WA 99207 | |
(509) 483-4855 | |
Not Available |
Full Name | Randy Devoe Woolf |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | Jc Penney Optical,, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699810952 | NPI | - | NPPES |
5690WO | Other | WA | ASURIS INSURANCE |
919268 | Other | WA | EYEMED INSURANCE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2006TX (Washington) | Primary |
152W00000X | Optometrist | 863OD (Idaho) | Secondary |
Provider Name | Kyle Sexton, O.d., Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972778009 PECOS PAC ID: 1951470913 Enrollment ID: O20080515000755 |
Mailing Address | Practice Location Address |
---|---|
Randy Devoe Woolf, OPTOMETRIST (OD) 524 N Adams Rd, Spokane Valley, WA 99216-2004 Ph: (509) 921-1508 | Randy Devoe Woolf, OPTOMETRIST (OD) Jc Penney Optical,, 4730 N. Division St, Spokane, WA 99207 Ph: (509) 483-4855 |
Serenity Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 7808 N Division St Ste 2, Spokane, WA 99208 Phone: 509-795-2289 Fax: 509-487-2842 | |
Michael P Berg, MD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 421 West Riverside, #280, Spokane, WA 99201 Phone: 509-838-2757 Fax: 509-838-2184 | |
Shopko Optical 129 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4515 S Regal St, Spokane, WA 99223 Phone: 509-448-9686 | |
Eyes For Life Ps Optometrist Medicare: Medicare Enrolled Practice Location: 3022 E 57th Ave Ste 11, Spokane, WA 99223 Phone: 509-448-7300 Fax: 509-448-7382 | |
Dr. Larry D Thompson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4750 N Division St, Ste. 205, Spokane, WA 99207 Phone: 509-482-3100 Fax: 509-482-0680 | |
Marlene J. Susumi, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 322 W North River Dr, Spokane, WA 99201 Phone: 509-324-6464 | |
Northtown Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4750 N Division St, Suite 126, Spokane, WA 99207 Phone: 509-482-0217 |