NPI 1194138123

Joshua Woodham, OD

Practitioner Optometrist Davenport, IA

Practice location

Address: 2150 E Kimberly Rd, Davenport, IA 52807-2225
Phone: (563) 359-0791

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 073225 (IA)

Other Optometrist providers in Iowa →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046010786 (IL)

Registry record

NPI: 1194138123
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2014
Record last updated: 8 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.