Active NPI
Thurman E Wood, O.D.
- Optometrist
- Bakersfield, CA
National Provider Identifier
1508885245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9498T
- Practice address
- 4819 Calloway Dr Ste 101
Bakersfield, CA 93312-5691 - Phone
- (661) 325-7739
- Fax
- (661) 325-2731
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 9498T | CA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 9498T | CA | |
| Pediatric Optometrist | 152WP0200X | 9498T | CA | |
| Optometrist | 152W00000X | 9498T | CA | Primary |
Addresses
Primary practice location
4819 Calloway Dr Ste 101
Bakersfield, CA 93312-5691
Mailing address
4819 Calloway Dr Ste 101
Bakersfield, CA 93312-5691
Phone (661) 325-7739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019000959 | CA | Practitioner - Optometry | 8628261914 | Practice locations: Bakersfield, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4819 Calloway Dr
Suite 101
Bakersfield, CA 93312-5691
Phone (661) 325-7739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9498T | CA | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499731200000",
"number": "1508885245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4819 CALLOWAY DR STE 101",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933125691",
"telephone_number": "661-325-7739",
"fax_number": "661-325-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4819 CALLOWAY DR STE 101",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933125691",
"telephone_number": "661-325-7739",
"fax_number": "661-325-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "THURMAN",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2017-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "9498T",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "9498T",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "9498T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9498T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.
- 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.