Organization Active NPI

Wood Vision Clinic Inc

  • Optometrist
  • Iowa Falls, IA
National Provider Identifier
1215962329
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WOOD VISION CLINIC INC
Practice address
322 College Ave
Iowa Falls, IA 50126-2106
Phone
(641) 648-3306
Fax
(641) 648-2075
NPI assigned
Jul 11, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Amanda A Wood, O.D.NPI 1205817087
Title
Vice President
Phone
(641) 648-3306

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

322 College Ave
Iowa Falls, IA 50126-2106

Mailing address

322 College Ave
Iowa Falls, IA 50126-2106
Phone (641) 648-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060929000252 IA Part B Supplier - Clinic/Group Practice 0143225920 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Hampton, IA; Iowa Falls, IA; Parkersburg, IA
O20100930007639 IA DME Supplier - Physician - Optometrist 0143225920 Practice locations: Iowa Falls, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wood Vision Clinic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

322 College Ave
Iowa Falls, IA 50126
Phone (641) 648-3306

713 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-3306

1306 Highway 57
Ste D
Parkersburg, IA 50665
Phone (319) 346-1688

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1215962329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COLLEGE AVE",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501262106",
            "telephone_number": "641-648-3306",
            "fax_number": "641-648-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COLLEGE AVE",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501262106",
            "telephone_number": "641-648-3306",
            "fax_number": "641-648-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD VISION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "641-648-3306",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.