DR. ETHAN C WOODBURY O.D.
NPI 1295998193
Optometrist in Jbsa Lackland, TX

Q: What is Ethan Woodbury's NPI number?

The NPI number for Ethan Woodbury is 1295998193. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Q: What is Ethan Woodbury's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Woodbury was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2008

1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236(210) 292-6255(210) 292-7934 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Jul 15, 2021, Oct 3, 2019 (3 updates tracked since 2019).

On this page

About Dr. Ethan C Woodbury O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN C WOODBURY O.D. (NPI 1295998193) is an individual optometrist in Jbsa Lackland, Texas, licensed in Utah (7024839-9934) and active in the NPI registry since July 2008. He maintains a secondary practice location in Travis Afb.

NPPES Registry Identity

NPI1295998193

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ETHAN C WOODBURYCredential: O.D.

Location Address1100 WILFORD HALL LOOP BLDG 4554Jbsa Lackland, TX 78236-5638

Mailing Address1100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · (210) 292-6255 · Fax (210) 292-7934

Phone(210) 292-6255

Fax(210) 292-7934

Sole ProprietorNo

Enumeration DateJuly 10, 2008

Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1295998193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in UT · 7024839-9934

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1100 WILFORD HALL LOOP BLDG 4554, Jbsa Lackland, TX 78236

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Secondary Practice Location 1

Location 1101 Bodin Cir, 60 MDG/SGPETravis AFB, CA 94535-1800 · Phone (707) 423-7169 · Fax (707) 423-7570

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REGINA MARIA REINSVOLD M.D.

Anesthesiology

1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236

Bexar County (210) 292-6255

ROBERT LEE LMFT

Marriage & Family Therapist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6255

DR. FINIANNE JIMENEZ UMALI-CORRY DO, MPH

Internal Medicine

1100 WILFORD HALL LOOP BLDG 4554
LACKLAND AFB, TX 78236

Bexar County (210) 292-4277

DAVID CHRISTOPHER MARI D.O.

Allergy & Immunology

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6255

DR. HANNAH GHONG-JU AHN MD

Radiology (Diagnostic Radiology)

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-4482

MRS. CASSANDRA LANETTE DOUGLAS PHARMACIST

Pharmacist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (102) 292-1144

DR. CHARLES RICHARD ELCHERT JR. D.C.

Chiropractor

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-3587

DR. LISA LEADER KOHLER OD

Optometrist

1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236

Bexar County (210) 292-6255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Woodbury's NPI number?

The NPI number for Ethan Woodbury is 1295998193. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Ethan Woodbury located?

Ethan Woodbury practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-6255.

What is Ethan Woodbury's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Ethan Woodbury was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.