Wood, Douglas Robert
Wood, Douglas Robert is an individual health care provider with primary practice located at 2980 Browns Ln , Jonesboro AR 72401-7237. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wood, Douglas Robert can be contacted via phone (870) 972-5540.Contact Information
Primary practice address
2980 Browns Ln
Jonesboro AR 72401-7237
Phone: (870) 972-5540
Fax: (870) 972-5684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2241 | Arkansas |
Profile Details
| NPI number | 1821057399 |
|---|---|
| LBN Legal business name | Wood, Douglas Robert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Sep 29th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821057399 | NPPES |
| Arkansas | Other | 5C186 | BCBS |
| Arkansas | Other | 47828 | BCBS |
| Arkansas | MEDICAID | 101745722 | BCBS |
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