Geoffrey Bryan Wood, OD | |
3019 William St Ste 102, Cape Girardeau, MO 63703-6385 | |
(573) 335-2020 | |
(844) 380-2020 |
Full Name | Geoffrey Bryan Wood |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 3019 William St Ste 102, Cape Girardeau, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013754472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2024026912 (Missouri) | Primary |
Provider Name | Success Vision Eyecare Of Cape Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417428509 PECOS PAC ID: 6507104957 Enrollment ID: O20190211002684 |
Mailing Address | Practice Location Address |
---|---|
Geoffrey Bryan Wood, OD 3019 William St Ste 102, Cape Girardeau, MO 63703-6385 Ph: (573) 335-2020 | Geoffrey Bryan Wood, OD 3019 William St Ste 102, Cape Girardeau, MO 63703-6385 Ph: (573) 335-2020 |
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