Active NPI
Grant Wood, OD
- Optometrist
- Lewiston, ME
National Provider Identifier
1477487569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT1122
- Practice address
- 585 Main St
Lewiston, ME 04240-5945 - Phone
- (207) 412-5552
- NPI assigned
- Jun 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT1122 | ME | Primary |
Addresses
Primary practice location
585 Main St
Lewiston, ME 04240-5945
Mailing address
585 Main St
Lewiston, ME 04240-5945
Phone (207) 412-5552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1477487569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405945",
"telephone_number": "207-412-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405945",
"telephone_number": "207-412-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "GRANT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-11",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT1122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.