Organization
WILLIAM D. WOODS, OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS WOODS (OFFICE MANAGER/WIFE)
(770) 445-2715
Entity
Organization
Contact information
Practice address
1498 MERCHANTS DR, DALLAS, GA 30132-5064
(770) 445-2715
(770) 445-5805
Mailing address
1498 MERCHANTS DR, DALLAS, GA 30132-5064
(770) 445-2715
(770) 445-5805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
871GA
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137880001
PALMETTO DMERC
GA
01
—
0147448
BLUE CROSS BLUE SHIELD
GA
01
—
410020624
RR US MEDICARE/PALMETTO
GA
Enumeration date
08/04/2008
Last updated
10/10/2012
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