Provider Demographics
NPI:1558626788
Name:WOOD, ADAM JOSEPH (OD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JOSEPH
Last Name:WOOD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7580 COX LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6519
Mailing Address - Country:US
Mailing Address - Phone:513-759-5100
Mailing Address - Fax:513-759-5801
Practice Address - Street 1:7580 COX LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6519
Practice Address - Country:US
Practice Address - Phone:513-759-5100
Practice Address - Fax:513-759-5801
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6170152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist