Individual provider Active NPI

Brian Mitchell Wood, OD

  • Optometrist
  • Tallahassee, FL
National Provider Identifier
1962060863
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5659 Issued in FL
Practice address
1433 E Lafayette St
Tallahassee, FL 32301-4747
Phone
(850) 877-4687
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5659 FL Primary

Addresses

Primary practice location

1433 E Lafayette St
Tallahassee, FL 32301-4747

Mailing address

5120 NE 4TH St
Ocala, FL 34470-1568
Phone (352) 812-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190709000341 FL Practitioner - Optometry 2264767623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Tallahassee, P.a.Group PAC ID 7315900370, 10 clinicians

Practice addresses (Care Compare)

23186 Blue Star Hwy
Quincy, FL 32351-5173
Phone (850) 878-6161

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5659FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Tallahassee, P.a. Dba Eye Associates of North Florida CurrentSince Jan 2, 2024 Accepting new patients

Locations

803 W Main St
Perry, FL 32347
Phone (850) 584-7078

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2020 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 878-6161

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bwood015339@myeyedr.emadirect.md
  • Direct secure messaging: brian.woodod.p1@direct.eyeassociates.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1962060863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 NE 4TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344701568",
            "telephone_number": "352-812-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E LAFAYETTE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323014747",
            "telephone_number": "850-877-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRIAN",
        "middle_name": "MITCHELL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.