Wood Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WOOD VISION CLINIC

Practice address

800 Professional Acres Blvd
Jonesboro, AR 72401-4340

Phone

(870) 972-5540

Fax

(870) 972-5684

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Robert Wood Sr., OD

Title

Managing Partner

Phone

(870) 972-5540

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neta Lee Wood, OD

  • Optometrist
  • Jonesboro, AR
  • NPI 1962461582
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1790744738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PROFESSIONAL ACRES BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014340",
            "telephone_number": "870-972-5540",
            "fax_number": "870-972-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PROFESSIONAL ACRES BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014340",
            "telephone_number": "870-972-5540",
            "fax_number": "870-972-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "870-972-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C186",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101809722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Womens Wellness Center of Northeast Arkansas, LTD.
• Charis Won
• Wondercare LLC
• Candace Wong
• Wood Primary Care Clinic PLLC
• Angelina Wood, MCD, CCC-SLP
• Jennifer Wood
• Jessica Wood, APRN
• Jewel Eloise Wood, LCSW
• Keisha D Wood, LCSW

• Optometrist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.