William Terry Wood

Primary specialty

OptometristTaxonomy code 152W00000X

License

MS495 Issued in MS

Practice address

26 South Main Street
Pontotoc, MS 38863-2811

Phone

(662) 489-5907

Fax

(662) 489-6928

NPI assigned

Apr 7, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1981

Medicare assignment

May accept Medicare assignment

Group practices

W T Wood OD PAGroup PAC ID 2769554443, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.22 of 100Reported as group

Quality

78.44

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• TN PPO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• AL HMO D-SNP
• TN PPO C-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• AL HMO

Interoperability endpoints

• Direct secure messaging: william.wood@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• W T Wood OD PA

  • Optometrist
  • Pontotoc, MS
  • NPI 1235300161
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1013030964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632822",
            "telephone_number": "662-489-5907",
            "fax_number": "662-489-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SOUTH MAIN STREET",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632811",
            "telephone_number": "662-489-5907",
            "fax_number": "662-489-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WILLIAM",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "MS495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT",
            "identifier": "0652140001",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087916",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flavia H West, MD
• Kyle Lyndon White, DPT
• Deborah Traylor Wilmoth, NURSE PRACTITIONER
• Gwen Garibaldi Wolford, FNP
• Holly Wood, FNP-C
• Teirra Wynn
• Your Golden Transportation LLC

• Optometrist in Pontotoc, MS
• Providers in Pontotoc, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.