Bobby W Wood Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5954TG Issued in TX

Practice address

3040 E Main St
Suite Q
Uvalde, TX 78801-6424

Phone

(210) 222-2154

Fax

(210) 222-2154

NPI assigned

May 17, 2006

Last updated

Aug 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MJW Eyecare Associates, P.a.Group PAC ID 4880840222, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MJW Eyecare Associates, P.a.

  dba Coyote Optical

  • Optometrist
  • Uvalde, TX
  • NPI 1881925196
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1962454827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 STONEWALL HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561667",
            "telephone_number": "830-591-7595",
            "fax_number": "830-278-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E MAIN ST",
            "address_2": "SUITE Q",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016424",
            "telephone_number": "210-222-2154",
            "fax_number": "210-222-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BOBBY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5954TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1519",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0985380001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shadwick Webb, COTA
• West Wharton County Hospital District (Amistad Nursing and Rehabilitation Center)
• David Wayne Wheeler, LCDC
• David C White, MD
• Brady Williams, CRNA
• Christy Marie Yeager, PT
• Annamarie Zamora
• Raza Ahmed Zia, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.