Wood, Richard
Wood, Richard is an sole proprietor health care provider with primary practice located at 1496 N Higley Rd Suite 104, Gilbert AZ 85234-1601. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wood, Richard can be contacted via phone (480) 279-4400.Contact Information
Primary practice address
1496 N Higley Rd Suite 104
Gilbert AZ 85234-1601
Phone: (480) 279-4400
Fax: (480) 981-0548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1148 | Arizona |
Profile Details
| NPI number | 1972591105 |
|---|---|
| LBN Legal business name | Wood, Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1972591105 | NPPES |
| Arizona | MEDICAID | 079582 |
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