Individual provider Active NPI

James M. Wood, O.D.

  • Vision Therapy Optometrist
  • Lilburn, GA
National Provider Identifier
1932283199
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1148-T Issued in GA
Practice address
3050 Five Forks Trickum Rd SW
Suite 112
Lilburn, GA 30047-1807
Phone
(770) 978-2990
Fax
(770) 978-2993
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 1148-T GA Primary

Addresses

Primary practice location

3050 Five Forks Trickum Rd SW
Suite 112
Lilburn, GA 30047-1807

Mailing address

3050 Five Forks Trickum Rd SW
Suite 112
Lilburn, GA 30047-1807
Phone (770) 978-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20081013000569 GA Practitioner - Optometry 7214003979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Riverside Pkwy
Suite 108
Lawrenceville, GA 30043-5914
Phone (770) 237-8820

3050 Five Forks Trickum Rd SW
Suite 112
Lilburn, GA 30047-1877
Phone (770) 978-2990

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Eyecare, P.C. CurrentSince Sep 1, 1992 Accepting new patients
Wood Vision LLC CurrentSince Aug 14, 2023 Accepting new patients
Southeast Eye Surgery Center, PC Past Accepting new patients

Locations

2100 Riverside Pkwy
Ste 108
Lawrenceville, GA 30043
Phone (770) 237-8820

3050 Five Forks Trickum Rd SW
Ste 112
Lilburn, GA 30047
Phone (770) 978-2990

428 W Highland Ave
Monroe, GA 30655
Phone (770) 267-2573

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1932283199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 FIVE FORKS TRICKUM RD SW",
            "address_2": "SUITE 112",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471807",
            "telephone_number": "770-978-2990",
            "fax_number": "770-978-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 FIVE FORKS TRICKUM RD SW",
            "address_2": "SUITE 112",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471807",
            "telephone_number": "770-978-2990",
            "fax_number": "770-978-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JAMES",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "GA",
            "license": "1148-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

Verify at the official NPI Registry.