Geoffrey Bryan Wood, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2024026912 Issued in MO

Practice address

3019 William St Ste 102
Cape Girardeau, MO 63703-6385

Phone

(573) 335-2020

Fax

(844) 380-2020

NPI assigned

Jul 12, 2024

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

Medicare fee-for-service enrollment

Enrolled in MO, KY2 enrollments

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 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Success Vision Eyecare of Cape LLCGroup PAC ID 6507104957, 4 clinicians

PCD Management of Paducah, LLCGroup PAC ID 3971919226, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

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.

• Success Vision Eyecare of Cape, LLC

  • Optometrist
  • Cape Girardeau, MO
  • NPI 1417428509
  Medicare reassignment Care Compare group NPD
• PCD Management of Paducah, LLC

  • Optometrist
  • Paducah, KY
  • NPI 1659998524
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1013754472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 WILLIAM ST STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036385",
            "telephone_number": "573-335-2020",
            "fax_number": "844-380-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 WILLIAM ST STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036385",
            "telephone_number": "573-335-2020",
            "fax_number": "844-380-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "GEOFFREY",
        "middle_name": "BRYAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024026912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Edward Witto
• Kirsten Woeltje
• Jacob S Wolpers, CRNA
• Women First, PC
• Bryan Wesley Wood, O.D.
• Kevin Wood, PHARMD
• Ryne Christopher Wood, OD
• Haley Cheyenne Woods, LMSW
• Dianne S Woolard, M.D.
• Jennifer Lauren Woolf, LPC

• Optometrist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.