Individual provider Active NPI

Linda Nuckols Wood

  • Optician
  • Lynchburg, VA
National Provider Identifier
1518023662
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101001254 Issued in VA
Practice address
999 Sheffield Dr
Lynchburg, VA 24502-2141
Phone
(434) 846-3937
Fax
(434) 845-1993
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101001254 VA Primary

Addresses

Primary practice location

999 Sheffield Dr
Lynchburg, VA 24502-2141

Mailing address

287 Hemlock TRL
Monroe, VA 24574-3041
Phone (434) 922-7085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101001254VAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
A G Jefferson Inc Optician Current Accepting new patients

Locations

999 Sheffield Dr
Lynchburg, VA 24502
Phone (434) 846-3937

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518023662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 HEMLOCK TRL",
            "city": "MONROE",
            "state": "VA",
            "postal_code": "245743041",
            "telephone_number": "434-922-7085",
            "fax_number": "434-845-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SHEFFIELD DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022141",
            "telephone_number": "434-846-3937",
            "fax_number": "434-845-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LINDA",
        "middle_name": "NUCKOLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101001254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.