Richard E Wood OD and Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

01148 Issued in AZ

Legal business name

RICHARD E WOOD OD AND ASSOCIATES LLC

Practice address

436 Hospital Dr
Warrenton, VA 20186

Phone

(480) 279-4400

Fax

(480) 546-3698

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Edwin Wood, O.D.NPI 1972591105

Title

Ceo

Phone

(480) 570-5318

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fauquier Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Wood, O.D.

  • Optometrist
  • Gilbert, AZ
  • NPI 1972591105
  Medicare reassignment Care Compare group NPD Authorized official
• Tylor Pravongviengkham, OD

  • Optometrist
  • Gilbert, AZ
  • NPI 1235880493
  Medicare reassignment Care Compare group NPD
• Terry Lance Williams, O.D.

  • Optometrist
  • Gilbert, AZ
  • NPI 1861446510
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1013940824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "480-279-4400",
            "fax_number": "480-546-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "20186",
            "telephone_number": "480-279-4400",
            "fax_number": "480-546-3698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1496 N Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341601",
            "country_code": "US",
            "telephone_number": "480-279-4400",
            "fax_number": "480-981-0548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RICHARD E WOOD OD AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-570-5318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "01148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079582",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fauquier Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Restrepo, M.S., CCC-SLP
• Colette R Reynolds, MA CCC
• Kristy S Reynolds, MD
• Matthew P Rhames, MD
• Robert Wayne Rice, RRT
• Julie Maria Richardson, PA-C
• Sharon Riley, DNP, FNP-BC
• River Oaks Neurology, LLC
• Kathleen Marie Rizzo, BS, RN, CWOCN
• Robert C Dart MD PLC

• Optometrist in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.