Wood, Bryan Wesley
Wood, Bryan Wesley is an sole proprietor health care provider with primary practice located at 3019 William Street Suite 102, Cape Girardeau MO 63703. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Wood, Bryan Wesley can be contacted via phone (573) 339-2020.Contact Information
Primary practice address
3019 William Street Suite 102
Cape Girardeau MO 63703
Phone: (573) 339-2020
Fax: (844) 380-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | KY2195DT | Kentucky |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.009893 | Illinois |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2006017344 | Missouri |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2006 17344 | Missouri |
Profile Details
| NPI number | 1275648677 |
|---|---|
| LBN Legal business name | Wood, Bryan Wesley |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jul 24th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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