| Organization Name: | WOOD EYECARE, P.C. |
| NPI Number: | 1023207701 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES WOOD (OWNER) |
| Mailing Address: | 3050 Five Forks Trickum Rd Sw Suite 112 Lilburn |
| State: | GA US |
| Postal Code: | 300471807 |
| Phone Number: | 7709782990 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2007 |
| NPI Last Update Date: | 10/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | 1148-T |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |