Organization
WOOD OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WOOD PHELPS (PRESIDENT)
(502) 454-0352
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 1100, LOUISVILLE, KY 40217-1462
(502) 454-0352
(502) 451-3096
Mailing address
1169 EASTERN PKWY STE 1100, LOUISVILLE, KY 40217-1462
(502) 454-0352
(502) 451-3096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
404
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321642
ANTHEM
KY
Enumeration date
10/02/2006
Last updated
03/22/2013
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