Organization Active NPI

Cassandra Wood, O.D., LLC

Doing business as Eyes On You

  • Optometrist
  • Van Buren, AR
National Provider Identifier
1902511900
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CASSANDRA WOOD, O.D., LLC
Doing business as
Eyes On You
Practice address
2214 Fayetteville Rd
Van Buren, AR 72956-6508
Phone
(479) 279-0454
NPI assigned
Jan 16, 2023
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Cassandra Wood, ODNPI 1336750926
Title
Optometrist
Phone
(479) 279-0454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2214 Fayetteville Rd
Van Buren, AR 72956-6508

Mailing address

2214 Fayetteville Rd
Van Buren, AR 72956-6508
Phone (479) 279-0454

Other names 1

  • Eyes On You Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240426000283 AR Part B Supplier - Clinic/Group Practice 0345680112 Receives reassigned benefits from 1 practitioner
Practice locations: Van Buren, AR

National Provider Directory

National Provider Directory

Locations

2214 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 279-0454

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1902511900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566508",
            "telephone_number": "479-279-0454",
            "fax_number": "479-777-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566508",
            "telephone_number": "479-279-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA WOOD, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "479-279-0454",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes On You",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes On You",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.