Wood Vision Clinic

LBN: Wood Vision Clinic
Wood Vision Clinic is an health care organization with primary practice located at 800 Professional Acres Blvd , Jonesboro AR 72401-4340. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wood Vision Clinic can be contacted via phone (870) 972-5540, or through Wood, Douglas Robert via phone (870) 972-5540.

Contact Information

Primary practice address
800 Professional Acres Blvd Jonesboro AR 72401-4340
Fax: (870) 972-5684
Website:
Authorized official contact:
Name: Wood, Douglas Robert Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1790744738
LBN Legal business name Wood Vision Clinic
DBA Doing business as
Authorized official Wood, Douglas Robert Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790744738 NPPES
Arkansas Other 5C186 BCBS
Arkansas MEDICAID 101809722 BCBS

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