John William Wood, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7093T Issued in CA

Practice address

252 W Los Angeles Ave
Suite G
Moorpark, CA 93021-1888

Phone

(805) 529-5497

Fax

(805) 529-4987

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1033182829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W LOS ANGELES AVE",
            "address_2": "SUITE G",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211888",
            "telephone_number": "805-529-5497",
            "fax_number": "805-529-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W LOS ANGELES AVE",
            "address_2": "SUITE G",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211888",
            "telephone_number": "805-529-5497",
            "fax_number": "805-529-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7093T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BH492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Wiatt, MS. CCC-SLP,SERVICES
• Sheri Widdis, CDA, RDA
• Julie Willlams
• Mark R. Winkler, MD
• Wendy Womack, D.C
• Shane M Woods, COTA
• Xcel Physical Therapy & Wellness Center PC
• Xcelerate Physical Therapy Inc.
• Jeffrey Yokomizo, LMFT
• Ayhan Yoruk, MD

• Optometrist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.