Active NPI
Christopher Wood, O.D.
- Optometrist
- Elkton, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA2627
- Practice address
- 360 E Pulaski Hwy Ste 1B
Elkton, MD 21921 - Phone
- (410) 398-5240
- Fax
- (401) 398-4762
- NPI assigned
- May 20, 2018
- Last updated
- Jul 23, 2018
- 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 | TA2627 | MD | Primary |
Addresses
Primary practice location
360 E Pulaski Hwy Ste 1B
Elkton, MD 21921
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
Locations
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
360 E Pulaski Hwy
Ste 1B
Elkton, MD 21921
Phone (410) 398-5240
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
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": "1526774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1699266288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E PULASKI HWY STE 1B",
"city": "ELKTON",
"state": "MD",
"postal_code": "21921",
"telephone_number": "410-398-5240",
"fax_number": "401-398-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CHRISTOPHER",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-20",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.