Individual provider Active NPI

Thurman E Wood, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1508885245
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9498T Issued in CA
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

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
9498TCAMDCorneal 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

Verify at the official NPI Registry.