Provider Demographics
NPI:1366413635
Name:WOOD, JAROD R (OD)
Entity type:Individual
Prefix:
First Name:JAROD
Middle Name:R
Last Name:WOOD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-0039
Mailing Address - Country:US
Mailing Address - Phone:641-648-3306
Mailing Address - Fax:641-648-2075
Practice Address - Street 1:322 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-2106
Practice Address - Country:US
Practice Address - Phone:641-648-3306
Practice Address - Fax:641-648-2075
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02228152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA25600OtherWELLMARK BCBS
IA3263798Medicaid
IA4263798Medicaid
IA236651OtherMIDLANDS CHOICE
IA303041OtherCOVENTRY
IA25584OtherWELLMARK BCBS
IAP00337540OtherRAILROAD MEDICARE
IAU90828Medicare UPIN
IA303041OtherCOVENTRY