Provider Demographics
NPI:1760770077
Name:WOOD, JESSICA D (OD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:D
Last Name:WOOD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JESSICA
Other - Middle Name:M
Other - Last Name:DOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
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:2011-07-20
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6032/T2947152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist