W T Wood OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

MS495 Issued in MS

Legal business name

W T WOOD OD PA

Practice address

26 S Main St
Pontotoc, MS 38863-2811

Phone

(662) 489-5907

Fax

(662) 489-6928

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Terry Wood, O.D.NPI 1013030964

Title

President

Phone

(662) 489-5907

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 4

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

• William Terry Wood

  • Optometrist
  • Pontotoc, MS
  • NPI 1013030964
  Medicare reassignment Care Compare group NPD Authorized official
• Miranda Wood Maynard, O.D

  • Optometrist
  • Pontotoc, MS
  • NPI 1497990048
  Medicare reassignment Care Compare group NPD
• Joseph Caleb Warren, OD

  • Optometrist
  • Pontotoc, MS
  • NPI 1023798725
  Medicare reassignment Care Compare group NPD
• Lisa M Scholes, OD

  • Optometrist
  • Lebanon, PA
  • NPI 1770574311
  NPD

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1235300161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632811",
            "telephone_number": "662-489-5907",
            "fax_number": "662-489-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632811",
            "telephone_number": "662-489-5907",
            "fax_number": "662-489-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W T WOOD OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-489-5907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "MS495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087916",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Nicole Tindall, CFNP
• Elizabeth Todd, D.M.D
• Traci Cox Geriatric Services PLLC
• James A. Tutor, P.T.
• Natalie Vandiver
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0164)
• Wal-Mart Stores East, LP (Vision Center 30-0164)
• Janice Lee Waller, MED, CMHT
• Andrea J Warren, DO
• Joseph Caleb Warren, OD

• Optometrist in Pontotoc, MS
• Providers in Pontotoc, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.