Active NPI
Westley Thomas Wood, OWNER
- Optician
- Flint, MI
National Provider Identifier
1821415241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 61-1559792
- Practice address
- 3249 S Linden Rd
Flint, MI 48507-3005 - Phone
- (810) 720-1300
- Fax
- (810) 720-1318
- NPI assigned
- Mar 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 61-1559792 | MI | Primary |
Addresses
Primary practice location
3249 S Linden Rd
Flint, MI 48507-3005
Mailing address
3249 S Linden Rd
Flint, MI 48507-3005
Phone (810) 720-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61-1559792 | MI | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1821415241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 S LINDEN RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485073005",
"telephone_number": "810-720-1300",
"fax_number": "810-720-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3249 S LINDEN RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485073005",
"telephone_number": "810-720-1300",
"fax_number": "810-720-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "WESTLEY",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-24",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MI",
"license": "61-1559792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.