Jon L Woods O.D.

NPI 1669509576 - Optometrist - 152W00000X

NPI Details
NPI 1669509576
Gender Male
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10900 LINCOLN TRL
FAIRVIEW HEIGHTS IL, 62208-2042, US
Phone (618) 398-5005
Fax
Business Location
10900 LINCOLN TRL
FAIRVIEW HEIGHTS IL, 62208-2042, US
Phone (618) 398-5005
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 46-6501
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According to our database, Dr. Jon L Woods O.D. NPI is 1669509576, taxonomy code is 152W00000X and license number is 46-6501, license state is located at Illinois. Jon L Woods O.D. physically located at 10900 Lincoln Trl, Fairview Heights IL, 62208-2042. NPI Number Jon L Woods O.D. has the Individual type.

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1669509576 NPI number is provided on an as is basis without warranty of any kind. 1669509576 is maintained by the National Plan & Provider Enumeration System. The contents of Jon L Woods O.D. are for informational purposes only.