Individual provider Active NPI

Michael Hunter Wood, OD

  • Optometrist
  • Edmond, OK
National Provider Identifier
1679301261
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3284 Issued in OK
Practice address
318 S Littler Ave
Edmond, OK 73034-3823
Phone
(405) 341-3567
Fax
(405) 359-2000
NPI assigned
Jul 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3284 OK Primary

Addresses

Primary practice location

318 S Littler Ave
Edmond, OK 73034-3823

Mailing address

318 S Littler Ave
Edmond, OK 73034-3823
Phone (405) 341-3567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240904001275 OK Practitioner - Optometry 1355881467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkside Eyecare PLLCGroup PAC ID 5193141372, 4 clinicians

Practice addresses (Care Compare)

318 S Littler Ave
Edmond, OK 73034-3823
Phone (405) 341-3567

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3284OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Eyecare, PLLC Optometrist CurrentSince Jul 25, 2024 Accepting new patients
Bradley W. Fielding Optometrist, Inc Optometrist PastSince Jul 25, 2024 Accepting new patients

Locations

318 S Littler Ave
Edmond, OK 73034
Phone (405) 341-3567

Organizations & group practices 2

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1679301261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S LITTLER AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343823",
            "telephone_number": "405-341-3567",
            "fax_number": "405-359-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S LITTLER AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343823",
            "telephone_number": "405-341-3567",
            "fax_number": "405-359-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MICHAEL",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.