Provider Demographics
NPI:1568843159
Name:WOOD, WILLIAM RYAN (OD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:RYAN
Last Name:WOOD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:815 TECHNOLOGY DR UNIT 241460
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-6084
Mailing Address - Country:US
Mailing Address - Phone:501-295-4011
Mailing Address - Fax:501-295-4003
Practice Address - Street 1:16901 CHENAL PKWY
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223
Practice Address - Country:US
Practice Address - Phone:501-295-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3221152W00000X
AR4013152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist