Individual
MR. CARLETON J WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 SOUTH MAIN ST., CHAPMANVILLE, WV 25508
(304) 855-3535
(304) 855-3535
Mailing address
PO BOX 1630, CHAPMANVILLE, WV 25508
(304) 855-3535
(304) 855-3535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
742-0
WV
152W00000X
Optometrist
7420
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000537408
BC BS
WV
05
—
0150711000
—
WV
01
—
410001206
RAILROAD MEDICARE
WV
Enumeration date
08/21/2006
Last updated
11/12/2008
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