Individual provider Active NPI

Jarod R Wood, OD

  • Optometrist
  • Iowa Falls, IA
National Provider Identifier
1366413635
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02228 Issued in IA
Practice address
322 College Ave
Iowa Falls, IA 50126-2106
Phone
(641) 648-3306
Fax
(641) 648-2075
NPI assigned
Jan 27, 2006
Last updated
Sep 4, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02228 IA Primary

Addresses

Primary practice location

322 College Ave
Iowa Falls, IA 50126-2106

Mailing address

PO Box 39
Iowa Falls, IA 50126-0039
Phone (641) 648-3306

Other identifiers 7

IdentifierTypeStateIssuer
3263798MedicaidIA
303041OtherIACOVENTRY
236651OtherIAMIDLANDS CHOICE
25584OtherIAWELLMARK BCBS
25600OtherIAWELLMARK BCBS
4263798MedicaidIA
P00337540OtherIARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060930000020 IA Practitioner - Optometry 0042215758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Vision Clinic IncGroup PAC ID 0143225920, 4 clinicians

Practice addresses (Care Compare)

713 S Oak St
Iowa Falls, IA 50126-9546
Phone (641) 648-3306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02228IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Ida Grove PC Optometrist PastSince Aug 21, 2015 Accepting new patients
Family Eye Care PC Optometrist PastSince Aug 11, 1997 Accepting new patients
Wood Vision Clinic Inc Optometrist PastSince Aug 3, 2006 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1366413635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501260039",
            "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": {
        "last_name": "WOOD",
        "first_name": "JAROD",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3263798",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "303041",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "236651",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "25584",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "25600",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4263798",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00337540",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa Falls, IA

Sources for this page

Verify at the official NPI Registry.