Active NPI
David D Wool, OD
- Optometrist
- Colchester, VT
National Provider Identifier
1174602791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VT 218
- Practice address
- 311 Heineberg Dr
Colchester, VT 05446-6774 - Phone
- (802) 658-6740
- Fax
- (802) 863-2334
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VT 218 | VT | Primary |
Addresses
Primary practice location
311 Heineberg Dr
Colchester, VT 05446-6774
Mailing address
311 Heineberg Dr
Colchester, VT 05446-6774
Phone (802) 658-6740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040406000721 | VT | Practitioner - Optometry | 1759374770 | Practice locations: Colchester, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
311 Heineberg Dr
Colchester, VT 05446-6774
Phone (802) 658-6740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT 218 | VT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1174602791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 HEINEBERG DR",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054466774",
"telephone_number": "802-658-6740",
"fax_number": "802-863-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 HEINEBERG DR",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054466774",
"telephone_number": "802-658-6740",
"fax_number": "802-863-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOL",
"first_name": "DAVID",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "VT 218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.