Provider Demographics
NPI:1053054031
Name:WOOD VISION, LLC
Entity Type:Organization
Organization Name:WOOD VISION, LLC
Other - Org Name:WOOD VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-267-2573
Mailing Address - Street 1:428 W HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-1908
Mailing Address - Country:US
Mailing Address - Phone:770-267-2573
Mailing Address - Fax:770-267-6751
Practice Address - Street 1:428 W HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-1908
Practice Address - Country:US
Practice Address - Phone:770-267-2573
Practice Address - Fax:770-267-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center