Jennifer D Wood, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6118TG Issued in TX

Practice address

1500 Rivery Blvd Ste 2005
Georgetown, TX 78628-3064

Phone

(512) 686-3424

Fax

(737) 253-8333

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey L. Morer, OD, PA

  • Optometrist
  • Fort Worth, TX
  • NPI 1437304318
  Medicare reassignment NPD
• Lumino Vision

  • Optometrist
  • Georgetown, TX
  • NPI 1649992595
  NPD Authorized official
• Aeg Washington DC Professional PLLC

  • Optometrist
  • Alton, IL
  • NPI 1699556043
  NPD (past)
• Eye Care Center of Leesburg

  • Optometrist
  • Leesburg, VA
  • NPI 1588746226
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1942252820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RIVERY BLVD STE 2005",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283064",
            "telephone_number": "512-686-3424",
            "fax_number": "737-253-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 RIVERY BLVD STE 2005",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283064",
            "telephone_number": "512-686-3424",
            "fax_number": "737-253-8333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N Eagle Creek Dr",
            "address_2": "SUITE 500",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091827",
            "country_code": "US",
            "telephone_number": "859-977-1129",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KY",
            "license": "1666DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6118TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Roy Wirth IV
• Wolf Ranch Dental Group, PC
• Yan Tung Wong
• April Leigh Wood, CCC-SLP
• Brent S Wood, D.P.M.
• Robert Bruce Wood, PT
• Shauna Annie Wood, D.C.
• Austin Woodruff
• Marie Worsham
• Destiny Wright Tennon

• Optometrist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.