Individual
R. SCOTT WOOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 GREENLAW BLVD, FLORA, IL 62839-1300
(618) 662-8468
(618) 662-4371
Mailing address
23 GREENLAW BLVD, FLORA, IL 62839-1300
(618) 662-8468
(618) 662-4371
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008137
IL
Other
Enumeration date
08/09/2006
Last updated
05/02/2008
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