Organization Active NPI

Wood Optical Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
National Provider Identifier
1518050517
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
404 Issued in KY
Legal business name
WOOD OPTICAL CO INC
Practice address
1169 Eastern Pkwy Ste 1100
Louisville, KY 40217-1462
Phone
(502) 454-0352
Fax
(502) 451-3096
NPI assigned
Oct 2, 2006
Last updated
Mar 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Mr. Michael Wood PhelpsNPI 1538735170
Title
President
Phone
(502) 454-0352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 404 KY Primary

Addresses

Primary practice location

1169 Eastern Pkwy Ste 1100
Louisville, KY 40217-1462

Mailing address

1169 Eastern Pkwy Ste 1100
Louisville, KY 40217-1462
Phone (502) 454-0352

Other identifiers 1

IdentifierTypeStateIssuer
000000321642OtherKYANTHEM

National Provider Directory

National Provider Directory

Locations

1169 Eastern Pkwy
Ste 1100
Louisville, KY 40217
Phone (502) 454-0352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1518050517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171462",
            "telephone_number": "502-454-0352",
            "fax_number": "502-451-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 1100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171462",
            "telephone_number": "502-454-0352",
            "fax_number": "502-451-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WOOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-454-0352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000321642",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.