Individual provider Active NPI

Jessica D Wood, O.D.

  • Optometrist
  • West Chester, OH
National Provider Identifier
1760770077
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6032/T2947 Issued in OH
Practice address
7580 Cox LN
West Chester, OH 45069-6519
Phone
(513) 759-5100
Fax
(513) 759-5801
NPI assigned
Jul 20, 2011
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6032/T2947 OH Primary

Addresses

Primary practice location

7580 Cox LN
West Chester, OH 45069-6519

Mailing address

7580 Cox LN
West Chester, OH 45069-6519
Phone (513) 759-5100

Other names 1

  • Dr. Jessica M Dobson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120130000177 OH Practitioner - Optometry 4587830930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Customeyes Vision Center IncGroup PAC ID 8123250040, 3 clinicians

Practice addresses (Care Compare)

7580 Cox LN
West Chester, OH 45069-6519
Phone (513) 759-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6032OHMDRegistered Dietitian
6032/T2947OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Staarmann Family Vision Center, Inc Optometrist CurrentSince Dec 10, 2013 Accepting new patients
Customeyes Vision Center, Inc. Optometrist CurrentSince Aug 23, 2016 Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients
Wing Eyecare, Inc. Optometrist Past Accepting new patients

Locations

2834 Mack Rd
Fairfield, OH 45014
Phone (513) 874-1718

7580 Cox Ln
West Chester, OH 45069
Phone (513) 759-5100

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.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1760770077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 COX LN",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696519",
            "telephone_number": "513-759-5100",
            "fax_number": "513-759-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 COX LN",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696519",
            "telephone_number": "513-759-5100",
            "fax_number": "513-759-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6032/T2947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DOBSON",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.