IndividualActive
Ethan Woodbury, O.D.
NPI 1295998193 · Optometrist · Jbsa Lackland, TX
Ethan Woodbury, O.D. is a Optometrist provider in Jbsa Lackland, TX (NPI 1295998193).
Provider details
- NPI number
- 1295998193
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 7024839-9934 (UT)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-6255
Fax: (210) 292-7934
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Additional practice locations (1)
- 101 Bodin Cir60 Mdg/SgpeTravis Afb, CA 94535-1800Phone: (707) 423-7169Fax: (707) 423-7570
Registry dates
- Enumerated
- 2008-07-10
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Frequently asked questions
- What is Ethan Woodbury's NPI number?
- Ethan Woodbury's National Provider Identifier (NPI) is 1295998193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Woodbury's specialty?
- Ethan Woodbury is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Ethan Woodbury located?
- Ethan Woodbury's practice location on file with NPPES is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638.
- What is Ethan Woodbury's phone number?
- The practice phone number listed in the NPPES registry for Ethan Woodbury is (210) 292-6255.
- Is Ethan Woodbury's NPI active?
- Yes — Ethan Woodbury's NPI (1295998193) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.