W T Wood Od Pa

LBN: W T Wood Od Pa
W T Wood Od Pa is an health care organization with primary practice located at 26 S Main St , Pontotoc MS 38863-2811. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. W T Wood Od Pa can be contacted via phone (662) 489-5907, or through Wood, William Terry via phone (662) 489-5907.

Contact Information

Primary practice address
26 S Main St Pontotoc MS 38863-2811
Phone: (662) 489-5907
Fax: (662) 489-6928
Website:
Map and Directions
Authorized official contact:
Name: Wood, William Terry Doctor of Optometry (OD)
Phone: (662) 489-5907

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X MS495 Mississippi

Profile Details

NPI number 1235300161
LBN Legal business name W T Wood Od Pa
DBA Doing business as
Authorized official Wood, William Terry Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Mar 5th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235300161 NPPES
Mississippi MEDICAID 00087916

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