Wood Family Eyecare OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WOOD FAMILY EYECARE OD LLC

Doing business as

Wood Family Eyecare

Practice address

2005 30TH St
Valley, AL 36854-3012

Phone

(334) 768-7202

NPI assigned

Jan 2, 2019

Last updated

Jan 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Audrey Wood, ODNPI 1154441525

Title

Owner/Optometrist

Phone

(314) 420-2251

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wood Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audrey Brazeal Wood, O.D.

  • Optometrist
  • Valley, AL
  • NPI 1154441525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1871066878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OPELIKA RD STE 6-347",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307618",
            "telephone_number": "314-420-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 30TH ST",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543012",
            "telephone_number": "334-768-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD FAMILY EYECARE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "314-420-2251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1154441525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-0733)
• Wal-Mart Stores East, LP (Vision Center 30-0733)
• Jennifer Williams
• Charles Derrick Wilson, CRNA
• Women's Health at Water's Edge
• Audrey Brazeal Wood, O.D.

• Optometrist in Valley, AL
• Providers in Valley, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.