Individual provider Active NPI

Christopher Rae Wood, OD

  • Optometrist
  • St George, UT
National Provider Identifier
1548768997
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10681910-9934 Issued in UT
Practice address
749 S River Rd
Saint George, UT 84790-5509
Phone
(435) 628-4464
NPI assigned
Jan 30, 2018
Last updated
Jan 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10681910-9934 UT Primary

Addresses

Primary practice location

749 S River Rd
Saint George, UT 84790-5509

Mailing address

364 W 200 N
Saint George, UT 84770-2706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180405001644 UT Practitioner - Optometry 0840553731 Reassigns benefits to 1 organization
I20190607001784 AZ Practitioner - Optometry 0840553731 Reassigns benefits to 1 organization
I20191217000711 TX Practitioner - Optometry 0840553731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Eyecare Center PLLCGroup PAC ID 2961757141, 3 clinicians

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

3383 W Main St
Thatcher, AZ 85552-5682
Phone (928) 792-4455

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 24, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Sep 24, 2019 Accepting new patients
Clarus Consultants LLC Optometrist CurrentSince Feb 25, 2018 Accepting new patients
Elite Eyecare Center PLLC Optometrist CurrentSince Jun 1, 2019 Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

3383 W Main St
Thatcher, AZ 85552
Phone (928) 298-0346

250 W State St
Ste 1
Hurricane, UT 84737
Phone (435) 635-2022

749 S River Rd
St George, UT 84790
Phone (435) 628-4464

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1548768997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 W 200 N",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847702706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 S RIVER RD",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847905509",
            "telephone_number": "435-628-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10681910-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.