Individual
LARRY D WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9483
(812) 426-9880
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9483
(812) 426-9880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001708
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000584869
ANTHEM
IN
05
—
100188050
—
IN
Enumeration date
12/04/2006
Last updated
05/14/2009
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