Individual provider Active NPI

Rose Navin Wood, O.D.

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1063525681
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0918 Issued in MD
Practice address
101 Eastern Blvd N
Hagerstown, MD 21740-5978
Phone
(240) 420-8888
Fax
(240) 420-8400
NPI assigned
Aug 16, 2006
Last updated
Apr 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0918 MD Primary

Addresses

Primary practice location

101 Eastern Blvd N
Hagerstown, MD 21740-5978

Mailing address

101 Eastern Blvd N
Hagerstown, MD 21740-5978
Phone (240) 420-8888

Other identifiers 1

IdentifierTypeStateIssuer
410046764OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20111215000079 MD Practitioner - Optometry 5496968299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Professionals P CGroup PAC ID 5698746170, 4 clinicians

Practice addresses (Care Compare)

101 Eastern Blvd N
Hagerstown, MD 21740-5978
Phone (240) 420-8888

Merit-based Incentive Payment System (MIPS)

Final score
85.83 of 100Reported as individual
Quality
71.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Professionals P C Optometrist CurrentSince Sep 1, 2001 Accepting new patients
Vision 2020 Optometrist PastSince Jul 1, 2023 Accepting new patients
Longmeadow Eyecare Incorporated Optometrist PastSince Feb 1, 1994 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

101 Eastern Blvd N
Hagerstown, MD 21740
Phone (240) 420-8888

Interoperability endpoints

  • Direct secure messaging: rwood@eyecareprofessionals.eyefinity-direct.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1063525681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EASTERN BLVD N",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405978",
            "telephone_number": "240-420-8888",
            "fax_number": "240-420-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EASTERN BLVD N",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405978",
            "telephone_number": "240-420-8888",
            "fax_number": "240-420-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ROSE",
        "middle_name": "NAVIN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.