NPIMap

Organization Active NPI

Ryan Wood OD PLLC

  • Optometrist
  • Little Rock, AR
National Provider Identifier
1124694450
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RYAN WOOD OD PLLC
Practice address
16901 Chenal Pkwy
Little Rock, AR 72223
Phone
(501) 295-4011
Fax
(501) 295-4003
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Dr. William Ryan Wood, ODNPI 1568843159
Title
Owner
Phone
(870) 588-6635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16901 Chenal Pkwy
Little Rock, AR 72223

Mailing address

815 Technology Dr Unit 241460
Little Rock, AR 72223-6084
Phone (501) 295-4011

Other names 1

  • Natural State Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210817002491 AR Part B Supplier - Clinic/Group Practice 2769887579 Receives reassigned benefits from 2 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

815 Technology Dr
Unit 241460
Little Rock, AR 72223

16901 Chenal Pkwy
Ofc
Little Rock, AR 72223

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1124694450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 TECHNOLOGY DR UNIT 241460",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722236084",
            "telephone_number": "501-295-4011",
            "fax_number": "501-295-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "501-295-4011",
            "fax_number": "501-295-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN WOOD OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-588-6635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natural State Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Natural State Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.