Wayne R. Wood, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2420 Issued in FL

Practice address

319 7TH St W
Palmetto, FL 34221-5206

Phone

(941) 729-5516

Fax

(941) 729-3736

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1437209087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 99TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342101239",
            "telephone_number": "941-749-8384",
            "fax_number": "941-729-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 7TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215206",
            "telephone_number": "941-729-5516",
            "fax_number": "941-729-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WAYNE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078975500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078986100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia A Williams, APRN
• Kabrena Williams, BCBA
• Rebecca Anne Williams, DOM, AP
• Sheniqua Montai Williams, APRN-C
• Kelly Winger
• Niki Miguelita Zayas, RBT

• Optometrist in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.