Active NPI
Wood Vision Clinic Inc
- Optometrist
- Iowa Falls, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda A Wood, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Parkersburg, IA
- NPI 1831370949
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.
-
- Optometrist
- Iowa Falls, IA
- NPI 1205817087
-
- Optometrist
- Iowa Falls, IA
- NPI 1093398935
-
- Optometrist
- Hampton, IA
- NPI 1891288569
-
- Optometrist
- Iowa Falls, IA
- NPI 1366413635
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.