Active NPI
Brian W. Wood, OD
- Optometrist
- Lakewood, CO
National Provider Identifier
1518936509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 970
- Practice address
- 8585 W 14TH Ave
Suite C
Lakewood, CO 80215-4857 - Phone
- (303) 238-4357
- Fax
- (303) 238-4358
- NPI assigned
- Mar 14, 2006
- 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 | 970 | CO | Primary |
Addresses
Primary practice location
8585 W 14TH Ave
Suite C
Lakewood, CO 80215-4857
Mailing address
8585 W 14TH Ave
Suite C
Lakewood, CO 80215-4857
Phone (303) 238-4357
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 919989/022138 | Other | CO | EYE SPECIALISTS |
| 930453 | Other | CO | EYEMED |
| 08009706 | Medicaid | CO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 970 | CO | MD | Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518936509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8585 W 14TH AVE",
"address_2": "SUITE C",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802154857",
"telephone_number": "303-238-4357",
"fax_number": "303-238-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8585 W 14TH AVE",
"address_2": "SUITE C",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802154857",
"telephone_number": "303-238-4357",
"fax_number": "303-238-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "BRIAN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE SPECIALISTS",
"identifier": "919989/022138",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "930453",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08009706",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.