Active NPI
Jeffery B Wood
- Optometrist
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3241TG
- Practice address
- 321 N Allen Dr
Allen, TX 75013-2539 - Phone
- (972) 727-5717
- Fax
- (972) 727-9927
- NPI assigned
- Oct 12, 2006
- Last updated
- Jun 22, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3241TG | TX | Primary |
Addresses
Primary practice location
321 N Allen Dr
Allen, TX 75013-2539
Mailing address
321 N Allen Dr
Allen, TX 75013-2539
Phone (972) 727-5717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093398803 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3241 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooks Wood Eyecare LLC | Optometrist | Current | Accepting new patients |
Locations
321 N Allen Dr
Allen, TX 75013
Phone (972) 727-5717
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Allen, TX
- NPI 1134607542
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": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1548359045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N ALLEN DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750132539",
"telephone_number": "972-727-5717",
"fax_number": "972-727-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N ALLEN DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750132539",
"telephone_number": "972-727-5717",
"fax_number": "972-727-9927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JEFFERY",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3241TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093398803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.