Wood, Neta Lee
Wood, Neta Lee is an individual health care provider with primary practice located at 800 Professional Acres Blvd , Jonesboro AR 72401. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wood, Neta Lee can be contacted via phone (870) 972-5540.Contact Information
Primary practice address
800 Professional Acres Blvd
Jonesboro AR 72401
Phone: (870) 972-5540
Fax: (870) 972-5684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2240 | Arkansas |
Profile Details
| NPI number | 1962461582 |
|---|---|
| LBN Legal business name | Wood, Neta Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 2nd, 2013 - about 12 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 | 1962461582 | NPPES |
| Arkansas | Other | 47825 | BCBS ARK |
| Arkansas | Other | 5C186 | BCBS ARK |
| Arkansas | MEDICAID | 101747722 | BCBS ARK |
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