Dr. C. Michael Wood

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

18001549A Issued in IN

Legal business name

DR. C. MICHAEL WOOD

Practice address

102 N 6TH St
Rockport, IN 47635-1460

Phone

(812) 649-4266

Fax

(812) 649-4279

NPI assigned

Oct 10, 2007

Last updated

Feb 12, 2008By 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. Charles Michael Wood, O.D.NPI 1225024797

Title

Owner

Phone

(812) 649-4266

Specialties & licenses 1

Addresses

Other identifiers 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.

• Charles Michael Wood, O.D.

  • Optometrist
  • Rockport, IN
  • NPI 1225024797
  NPD (past) Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1881882215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N 6TH ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351460",
            "telephone_number": "812-649-4266",
            "fax_number": "812-649-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 6TH ST",
            "city": "ROCKPORT",
            "state": "IN",
            "postal_code": "476351460",
            "telephone_number": "812-649-4266",
            "fax_number": "812-649-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. C. MICHAEL WOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-649-4266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18001549A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100224880A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brittany Carol Eirwin-Maqueda, DMD
• Katrina J Erickson, M.D.
• Faulkenberg Harth Inc (Rockport Pharmacy)
• Kayla Hagan Fearon, PTA
• Corey Fortwendel, PHARMD

• Eyewear Supplier in Rockport, IN
• Providers in Rockport, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.