Individual
DR. ERIC ALAN WOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5865 W UTOPIA RD, GLENDALE, AZ 85308
(623) 537-6000
Mailing address
3450 LACEY RD, DOWNERS GROVE, IL 60515-5430
(630) 743-4807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010562
IL
152W00000X
Optometrist
4991
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010562
—
IL
01
—
502720061
MEDICARE PTAN
IL
Enumeration date
06/28/2012
Last updated
08/06/2018
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