Susan S. Wood, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1145-T Issued in GA

Practice address

3050 Five Forks Trickum Rd SW
Suite 112
Lilburn, GA 30047-1807

Phone

(770) 978-2990

Fax

(770) 978-2993

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Wood Eyecare, P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Lilburn, GA
  • NPI 1023207701
  Medicare reassignment NPD
• Southeast Eye Surgery Center, PC

  dba Omni Eye Services

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1629120928
  NPD (past)
• Wood Vision LLC

  dba Wood Vision Center

  • Clinic/Center
  • Monroe, GA
  • NPI 1053054031
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740409499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 FIVE FORKS TRICKUM RD SW",
            "address_2": "SUITE 112",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471807",
            "telephone_number": "770-978-2990",
            "fax_number": "770-978-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FIVE FORKS TRICKUM RD SW",
            "address_2": "SUITE 112",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471807",
            "telephone_number": "770-978-2990",
            "fax_number": "770-978-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1145-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley J Wingfield
• Joseph Edward Witek Jr., RPH
• Wood Eyecare, P.C.
• James M. Wood, O.D.
• Jonathan Stephen Wood, MD
• Libra Woods
• Anna Carolina Wheeler Wright
• Shaliyah Wright
• Changchun C Wu, MD
• Larry Wyatt, LPC

• Optometrist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.